WILLIAM BLACKSTON

BALTIMORE, MD
NPI1740339324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  011538)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
Mr. WILLIAM BLACKSTON LCADC
7131 RUTHERFORD RD
BALTIMORE, MD 21244-2702
Phone number: 410-298-2691
Mailing Address
Mr. WILLIAM BLACKSTON LCADC
1331 SUGARWOOD CIR
BALTIMORE, MD 21221-5449
Phone number: 410-686-1272
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