DIANE BLACKMON

OAKLAND, MD
NPI1053933796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  26801)
Additional Taxonomies104100000X Social Worker
Enumeration Date2020-05-16
Last Update Date2023-09-15
Business Address
DIANE BLACKMON LCSW-C
5000 THAYER CTR STE C
OAKLAND, MD 21550-1139
Phone number: 301-276-4116
Mailing Address
DIANE BLACKMON LCSW-C
10308 GLEN VISTA DR
DALLAS, TX 75217-3582
Phone number: 240-863-8884