LISA C BLACKWELL

STATEN ISLAND, NY
NPI1225435373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Additional Taxonomies252Y00000X Early Intervention Provider Agency
Enumeration Date2014-12-04
Last Update Date2014-12-04
Business Address
Ms. LISA C BLACKWELL
400 LAKE AVE
STATEN ISLAND, NY 10303-2629
Phone number: 718-816-3481
Mailing Address
Ms. LISA C BLACKWELL
400 LAKE AVE
STATEN ISLAND, NY 10303-2629
Phone number: 718-816-3481
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