Individual
AMANDA JEAN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 EDGINGTON LN, WHEELING, WV 26003-1513
(304) 242-0217
Mailing address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00946515
WV
1041C0700X
Clinical Social Worker
S.2308884
OH
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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