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ELIZABETH JEAN BLANKENSHIP LCSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1083705172
Individual Registrant: ELIZABETH JEAN BLANKENSHIP LCSW
Gender: F
Not Sole Proprietor
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
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: --
Tel: 727-847-0243 Fax: --
Registration Information:
NPI: 1083705172
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | FL | SW7512 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GROUP PROVIDER # MCARE B | K4526 | 01 |
