Individual
BRIANNA BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 HALSTED AVE, CAPITOL HEIGHTS, MD 20743-3243
(540) 905-9348
Mailing address
6220 HALSTED AVE, CAPITOL HEIGHTS, MD 20743-3243
(540) 905-9348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200001879
DC
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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