Katherine Blackwell, Lcsw - Life Services
NPI #1194077222 in Mount Dora, Florida
Provider Information
- NPI Number
- 1194077222
- Entity Type
- Organization
- Organization Name
- Katherine Blackwell, Lcsw - Life Services
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 12, 2012
- Last Updated
- Oct 12, 2012
Practice Location
- Address
- 2117 STEWART LN
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-9507
- Phone
- (352) 409-4077
Authorized Official
- Name
- MRS. KATHERINE BLACKWELL, LCSW
- Title
- MANAGER
- Phone
- (352) 409-4077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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