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1588433213
MELVIN BLACKWELL
RALEIGH, NC
NPI
1588433213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19423)
Enumeration Date
2023-12-21
Last Update Date
2023-12-21
Business Address
MELVIN BLACKWELL
5720 CREEDMOOR RD
RALEIGH, NC 27612-2256
Phone number: 919-977-6018
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Mailing Address
MELVIN BLACKWELL
325 SPRUCE PINE TRL
KNIGHTDALE, NC 27545-6632
Phone number: 919-720-7994
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