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Individual
SHIRLISA BLACKMAN
Active
Individual
SHIRLISA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
376K00000X
Nurse's Aide
401892950816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487170
—
OH
Enumeration date
04/04/2017
Last updated
07/21/2025
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