Individual
DANA BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 W 36TH ST FL SUITE5N, NEW YORK, NY 10018-7907
(917) 740-7199
Mailing address
190 CEDAR ST, VALLEY STREAM, NY 11580-4908
(516) 780-3804
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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