Individual
MASADEY BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 EASTERN AVE, BALTIMORE, MD 21224-4108
(443) 202-7401
Mailing address
3310 EASTERN AVE, BALTIMORE, MD 21224-4108
(443) 202-7401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MT0157215
MD
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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