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1457674111
ANDREA K BLACKWELL
GREENVILLE, SC
NPI
1457674111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW008540)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-03-10
Last Update Date
2023-03-31
Business Address
ANDREA K BLACKWELL LCSW
124 MALLARD ST.
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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Mailing Address
ANDREA K BLACKWELL LCSW
1449 TEMPLE RD
BREMEN, GA 30110-2378
Phone number: 770-537-2367
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