MR. KERRY BLACKBURN, LICSW

Social Worker - Clinical

Active Individual
NPI: 1073666012

Practice Address

929 SW 152ND ST
SUITE D
Burien, WA 98166

Phone: (206) 431-3171

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LW00005759 (WA)

Frequently Asked Questions

NPI 1073666012 is the National Provider Identifier for MR. KERRY BLACKBURN, LICSW, a Social Worker - Clinical provider located in Burien, WA. This NPI was enumerated on January 22, 2007.
MR. KERRY BLACKBURN, LICSW practices at 929 SW 152ND ST, SUITE D, Burien, WA 98166.

Quick Facts

NPI
1073666012
Type
Individual
Enumerated
Jan 22, 2007
Last Updated
Jul 8, 2007

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