Individual
DONNA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 RESERVOIR CIR, BALTIMORE, MD 21208-6324
(443) 823-9742
Mailing address
7924 BUTTERFIELD DR, ELKRIDGE, MD 21075-6461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08214
MD
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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