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Individual

COLLEEN BLACKSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
1664B VILLAGE GRN, CROFTON, MD 21114-2014
(240) 383-5294
Mailing address
1664B VILLAGE GRN, CROFTON, MD 21114-2014
(240) 383-5294

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21008
MD

Other

Enumeration date
02/22/2019
Last updated
02/22/2019
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