Individual
CRISTY MAE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259655
KY
171M00000X
Case Manager/Care Coordinator
—
KY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/26/2019
Last updated
05/28/2025
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