Individual
ANGELA RENE BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6017 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2648
(228) 334-5035
Mailing address
801 MAGNOLIA BAYOU BLVD, OCEAN SPRINGS, MS 39564-8515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4770
MS
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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