Individual
MARY ELIZABETH BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1354 SALEM RD, BENNETTSVILLE, SC 29512-7911
(843) 535-7851
Mailing address
1354 SALEM RD LOT 1, BENNETTSVILLE, SC 29512-7911
(843) 535-7851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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