Individual
MEREDITH ANN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(601) 622-1208
Mailing address
1021 QUINCY ST NE, ALBUQUERQUE, NM 87110-5827
(601) 622-1208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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