MS. Miranda Blackburn, LISW
NPI #1801248992 in Saint Clairsville, Ohio
Provider Information
- NPI Number
- 1801248992
- Entity Type
- Individual
- Name
- MS. Miranda Blackburn, LISW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Jul 13, 2016
- Last Updated
- Jul 13, 2016
Practice Location
- Address
- 68518 BANNOCK RD
- State
- Ohio
- ZIP Code
- 43950-9736
- Phone
- (740) 695-5169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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