Katherine Blackwell, Lcsw - Life Services | |
2117 Stewart Ln Mount Dora FL 32757-9507 | |
(352) 409-4077 | |
Not Available |
Full Name | Katherine Blackwell, Lcsw - Life Services |
---|---|
Speciality | Social Worker - Clinical |
Location | 2117 Stewart Ln, Mount Dora, Florida |
Authorized Official Name and Position | Katherine Blackwell (MANAGER) |
Authorized Official Contact | 3524094077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Katherine Blackwell, Lcsw - Life Services 2117 Stewart Ln Mount Dora FL 32757-9507 Ph: (352) 409-4077 | Katherine Blackwell, Lcsw - Life Services 2117 Stewart Ln Mount Dora FL 32757-9507 Ph: (352) 409-4077 |
NPI Number | 1194077222 |
---|---|
Provider Enumeration Date | 10/12/2012 |
Last Update Date | 10/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194077222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9581 (Florida) | Primary |
News Archive
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