Individual
CARESSA BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4820 CHRISTIE AVE, CADDO MILLS, TX 75135
(843) 476-3460
Mailing address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-1405
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
09/22/2021
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