Individual
JESSICA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
458 OLD CHEROKEE RD, LEXINGTON, SC 29072-6971
(803) 549-8221
Mailing address
4 HILTON GLEN CT, CHAPIN, SC 29036-7525
(803) 719-6103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
SC
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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