Individual
JAMES ARCHIE BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 398-7050
(219) 757-1950
Mailing address
7716 WALNUT AVE, HAMMOND, IN 46324-3236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33001367A
IN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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