Individual
LAURA BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2502 N DODGE BLVD, SUITE 190, TUCSON, AZ 85716-2671
(520) 617-0043
Mailing address
2502 N DODGE BLVD, SUITE 190, TUCSON, AZ 85716-2671
(520) 617-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12532
AZ
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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