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1023598109
SHIMIKA BLACKWELL
ENCINO, CA
NPI
1023598109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-08-17
Last Update Date
2021-04-01
Business Address
SHIMIKA BLACKWELL
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number: 818-664-4082
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Mailing Address
SHIMIKA BLACKWELL
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number:
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