Individual
CAITLIN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
729 THIMBLE SHOALS BLVD STE 7D, NEWPORT NEWS, VA 23606-4246
(913) 749-6653
(757) 599-1013
Mailing address
211 BROAD ST, PORTSMOUTH, VA 23707-1601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010029
VA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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