Individual
SOPHIA R BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2479 COUNTRY CLUB RD, 1600D, SPARTANBURG, SC 29302-4201
(846) 263-7794
(864) 582-9208
Mailing address
2479 COUNTRY CLUB RD, 1600D, SPARTANBURG, SC 29302-4201
(846) 263-7794
(864) 582-9208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
07/10/2007
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