TINA ELLEN BLACKWELL

REISTERSTOWN, MD
NPI1487703666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  3166)
Enumeration Date2007-01-09
Last Update Date2007-07-09
Business Address
Mrs. TINA ELLEN BLACKWELL LCSW-C
37 MAIN ST
REISTERSTOWN, MD 21136-1236
Phone number: 410-526-7882
Mailing Address
Mrs. TINA ELLEN BLACKWELL LCSW-C
4007 LOG TRAIL WAY
REISTERSTOWN, MD 21136-1841
Phone number: 410-833-6094