Reandra Blade, LCSW
Social Worker, Clinical in High Point, NC. Individual provider (NPI-1).
NPI number1932932811
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1932932811
- Entity type
- Individual (NPI-1)
- Name
- Reandra Blade
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2024
- Certification date
- Aug 25, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CO16354 | NC | Yes |
Practice location
501 E Green DrHigh Point, NC 27260-6707
Phone 336-641-7653
Mailing address
4212 King Edward CtGreensboro, NC 27455-2569
Phone 336-681-4484
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