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Individual

BRIANNA A BLACKMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, M.ED

Contact information

Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
Mailing address
9815 SEASONS WEST DR UNIT 130, CARMEL, IN 46280-1490
(786) 202-8703

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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