Dealy E. Blackshear, LCSW Valid NPI

Individual provider · Clinical Social Worker · Nome, AK

NPI

1851433668

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

635 (AK)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-12

Last updated

2007-07-08