RICHARD BLACKWELL

REISTERSTOWN, MD
NPI1134514482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  01925)
Enumeration Date2015-04-03
Last Update Date2015-04-03
Business Address
-- RICHARD BLACKWELL
4007 LOG TRAIL WAY
REISTERSTOWN, MD 21136-1841
Phone number: 410-833-6094
Mailing Address
-- RICHARD BLACKWELL
4007 LOG TRAIL WAY
REISTERSTOWN, MD 21136-1841
Phone number: 410-833-6094
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