NICOLE MARIE BLACKMAN

SAN DIEGO, CA
NPI1346380334
Former NameNICOLE MCINTYRE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  29180)
Additional Taxonomies104100000X Social Worker
(Licence: CA  20230)
Enumeration Date2007-02-07
Last Update Date2021-03-04
Business Address
NICOLE MARIE BLACKMAN LCSW
3020 CHILDREN'S WAY MC 5100
SAN DIEGO, CA 92123
Phone number: 858-576-1700
Mailing Address
NICOLE MARIE BLACKMAN LCSW
3020 CHILDREN'S WAY MC 5100
SAN DIEGO, CA 92123
Phone number: 858-576-1700