Organization
ROBIN BLACKWELL ,LCSW, LLC
Active
Organization
ROBIN BLACKWELL ,LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN BLACKWELL LCSW (CLINICAL SOCIAL WORKER)
(505) 440-9303
Entity
Organization
Contact information
Practice address
4810 HARDWARE DR NE, ALBUQUERQUE, NM 87109-2013
(505) 440-9303
(505) 255-4717
Mailing address
4810 HARDWARE DR NE, ALBUQUERQUE, NM 87109-2013
(505) 440-9303
(505) 255-4717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-05040
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71828575
—
NM
Enumeration date
01/27/2017
Last updated
01/27/2017
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