Individual
MS. ELIZABETH S BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 554-9682
Mailing address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 554-9682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003552
NC
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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