DIANE BLACKISTON

VIRGINIA BEACH, VA
NPI1417048372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904004231)
Enumeration Date2006-09-27
Last Update Date2015-07-29
Business Address
-- DIANE BLACKISTON LCSW
297 INDEPENDENCE BLVD SUITE 126
VIRGINIA BEACH, VA 23462-2911
Phone number: 757-385-0511
Mailing Address
-- DIANE BLACKISTON LCSW
289 INDEPENDENCE BLVD SUITE 312
VIRGINIA BEACH, VA 23462
Phone number: 757-385-0687
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