Earlean Blackwell
Earlean Blackwell is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2019
Practice location Address checks out
1865 Waldrep Cir SEMarietta, GA 30060-4927
Phone: (678) 491-0078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (GA) |
|---|
Record details
| NPI number | 1023677713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2019 |
| Last updated in NPPES | June 6, 2019 |
| Mailing address | 1865 Waldrep Cir Se, Marietta, GA 30060-4927 |