Individual
BLAIR BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 COURT ST, SUITE 600, BROOKLYN, NY 11242-0103
(203) 727-9880
Mailing address
277 SMITH ST, BROOKLYN, NY 11231-4739
(203) 727-9880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
077938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00077938
—
NY
Enumeration date
08/01/2011
Last updated
10/01/2013
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