Individual
DAVID BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
939 ELKRIDGE LANDING RD STE 350, LINTHICUM, MD 21090-2909
(443) 354-8903
(443) 410-0663
Mailing address
939 ELKRIDGE LANDING RD STE 350, LINTHICUM, MD 21090-2909
(443) 354-8903
(443) 410-0643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04114
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135781600
—
MD
Enumeration date
03/20/2007
Last updated
11/12/2021
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