MR. KEVIN BLALOCK, LCSW, JSOCCP

Social Worker - Clinical

Active Individual
NPI: 1780573477

Practice Address

3484 GLEN LILY RD
Bowling Green, KY 42101

Phone: (334) 441-6165

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 258181 (KY)

Frequently Asked Questions

NPI 1780573477 is the National Provider Identifier for MR. KEVIN BLALOCK, LCSW, JSOCCP, a Social Worker - Clinical provider located in Bowling Green, KY. This NPI was enumerated on June 30, 2025.
MR. KEVIN BLALOCK, LCSW, JSOCCP practices at 3484 GLEN LILY RD, Bowling Green, KY 42101.

Quick Facts

NPI
1780573477
Type
Individual
Enumerated
Jun 30, 2025
Last Updated
Jun 30, 2025

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