Individual
THERESA BLANKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7211 PARK HEIGHTS AVE STE 4, BALTIMORE, MD 21208-5497
(443) 759-8965
Mailing address
7211 PARK HEIGHTS AVE STE 4, BALTIMORE, MD 21208-5497
(443) 759-8965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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