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1033809744
DERRICK BLACKWELL
WASHINGTON, DC
NPI
1033809744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
DERRICK BLACKWELL
2759 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032-2646
Phone number: 202-827-9961
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Mailing Address
DERRICK BLACKWELL
2750 LORRING DR APT 301
DISTRICT HEIGHTS, MD 20747-3438
Phone number: 202-549-4362
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