Individual
MARY BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6440 DOBBIN RD STE D, COLUMBIA, MD 21045-4770
(410) 730-2385
Mailing address
5043 BRADLEY BLVD APT 3, CHEVY CHASE, MD 20815-6573
(301) 922-1515
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM492
MD
Other
Enumeration date
03/02/2016
Last updated
06/04/2019
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