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Contact Information

LAURA M BLACKWELL, LISW
4930 N HOLLAND SYLVANIA RD STE E
SYLVANIA, OH43560
 Phone: 419-973-7029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LAURA M BLACKWELL · (Female)

NPI Number 1407804842
Status Active
Credentials LISW (Licensed Independent Social Worker)
Entity Individual
Enumeration date 05/05/2006
Last updated 08/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # I-0007485
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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