Individual
ALISA BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
941 BRADFORD ST, SAINT PAUL, MN 55114-1261
(612) 618-8689
Mailing address
941 BRADFORD ST, SAINT PAUL, MN 55114-1261
(612) 618-8689
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
01/27/2014
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