DAVID BRADLEY BLACKSTONE

PHOENIX, AZ
NPI1346393667
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-10118)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
-- DAVID BRADLEY BLACKSTONE MSW
7111 N 7TH ST
PHOENIX, AZ 85020-5303
Phone number: 602-944-4630
Mailing Address
-- DAVID BRADLEY BLACKSTONE MSW
7111 N 7TH ST
PHOENIX, AZ 85020-5303
Phone number: 602-944-4630
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