MARY BLACKWELL

BRADENTON, FL
NPI1619415254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2017-02-02
Last Update Date2021-06-15
Business Address
MARY BLACKWELL
5924 30TH AVE W
BRADENTON, FL 34209-6901
Phone number: 484-408-4272
Mailing Address
MARY BLACKWELL
5924 30TH AVE W
BRADENTON, FL 34209-6901
Phone number: 484-408-4272