Individual
PAMELA BRIANN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH ASSOCIATE,LMSW
Contact information
Practice address
5914 HUBBARD DR, ROCKVILLE, MD 20852-4823
(404) 390-7735
Mailing address
7902 HUBBLE DR, LANHAM, MD 20706-2495
(404) 390-7735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
A0541
MD
104100000X
Social Worker
25907
MD
Other
Enumeration date
10/04/2020
Last updated
07/19/2022
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