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Laura M. Blackwell, LISW

Social Worker, Clinical in Sylvania, OH. Individual provider (NPI-1).

NPI number1407804842
StatusActive
Last updated in NPPESAug 27, 2018

Details

NPI
1407804842
Entity type
Individual (NPI-1)
Name
Mrs. Laura M. Blackwell
Credential
LISW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 5, 2006
Last updated
Aug 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI-0007485OHYes

Practice location

4930 N Holland Sylvania Rd Ste E
Sylvania, OH 43560

Phone 419-973-7029

Mailing address

Po Box 60413
Rossford, OH 43460-0413

Phone 419-973-7029

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