Individual
MRS. CORINNE DANIELLE BLACKMUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2819 WILLOW STREET PIKE, SUITE N, WILLOW STREET, PA 17584
(717) 464-1450
(717) 464-0890
Mailing address
PO BOX 569, HONEY BROOK, PA 19344-0569
(484) 354-5647
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129145
PA
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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