Individual
MRS. SALLY J BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
22 W COLE RD, PSYCHIATRIC ASSOCIATES, BIDDEFORD, ME 04005
(207) 283-1118
(207) 286-8792
Mailing address
3 TIDEVIEW TERRACE, KENNEBUNK, ME 04043
(207) 985-4227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4980
ME
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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