MR. Kerry D Blackburn, LICSW
NPI #1073666012 in Burien, Washington
Provider Information
- NPI Number
- 1073666012
- Entity Type
- Individual
- Name
- MR. Kerry D Blackburn, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 929 SW 152ND ST
- Address 2
- SUITE D
- City
- Burien
- State
- Washington
- ZIP Code
- 98166-1843
- Phone
- (206) 431-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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