DEVON ANTHONY BLACKWOOD

REISTERSTOWN, MD
NPI1336225077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  LCA305)
Enumeration Date2006-10-27
Last Update Date2007-07-08
Business Address
Mr. DEVON ANTHONY BLACKWOOD LCADC
100 OWINGS COURT STE 8
REISTERSTOWN, MD 21136
Phone number: 410-526-7100
Mailing Address
Mr. DEVON ANTHONY BLACKWOOD LCADC
10400 RIDGLAND ROAD STE 1
COCKEYSVILLE, MD 21030
Phone number: 410-628-6120
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