GWENDOLYN MARCELLA BLACKNALL

PRINCE FREDERICK, MD
NPI1275171217
Professional NameKARINA FONTANEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  LGA2466)
Enumeration Date2019-12-19
Last Update Date2019-12-19
Business Address
Mrs. GWENDOLYN MARCELLA BLACKNALL LGADC
65 DUKE ST STE 203
PRINCE FREDERICK, MD 20678-6128
Phone number: 443-824-4818
Mailing Address
Mrs. GWENDOLYN MARCELLA BLACKNALL LGADC
65 DUKE ST
PRINCE FREDERICK, MD 20678-6128
Phone number: 443-404-5751