Individual
MR. DAVID BRANDON BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 COPPERFIELD BLVD NE, SUITE 105, CONCORD, NC 28025-2428
(704) 782-3131
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11002A
NC
Other
Enumeration date
10/06/2015
Last updated
12/31/2015
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