Individual
SCHERESE M BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 SPRING GARDEN ST SIDE 2, PHILADELPHIA, PA 19130-4138
(215) 607-6835
Mailing address
7900 LINDBERGH BLVD APT 3605, PHILADELPHIA, PA 19153-2009
(213) 806-0121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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