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ELIZABETH JEAN BLANKENSHIP LCSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1083705172

Individual Registrant:
 ELIZABETH JEAN BLANKENSHIP LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1232 N PINELLAS AVE  TARPON SPRINGS, FL 34689 US
Tel: 727-944-5171  Fax: 727-944-5174

Contact information for business:
7415 FAIRFAX DRIVE  PORT RICHEY, FL 34668 US
Tel: 727-847-0243  Fax: --

Registration Information:
NPI: 1083705172
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
FLSW7512

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
GROUP PROVIDER # MCARE BK452601




HEALTH CARE JOBS FL - Page 1



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