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1053933796
DIANE BLACKMON
OAKLAND, MD
NPI
1053933796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 26801)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2020-05-16
Last Update Date
2023-09-15
Business Address
DIANE BLACKMON LCSW-C
5000 THAYER CTR STE C
OAKLAND, MD 21550-1139
Phone number: 301-276-4116
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Mailing Address
DIANE BLACKMON LCSW-C
10308 GLEN VISTA DR
DALLAS, TX 75217-3582
Phone number: 240-863-8884
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