Individual
MRS. ANGELA FREEMAN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.B.T.
Contact information
Practice address
190 SUMMER ST, PLYMOUTH, MA 02360-3444
(704) 778-7465
Mailing address
190 SUMMER ST, PLYMOUTH, MA 02360-3444
(704) 778-7465
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-302399
MA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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