MS. Deddricka Blackson
MS. Deddricka Blackson is a Case Manager/Care Coordinator in Monroe, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1401 Hudson Ln Ste 139Monroe, LA 71201-6037
Phone: (318) 651-0086
Fax: (318) 651-0087
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1053195859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 22, 2023 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
| Mailing address | Po Box 77053, Baton Rouge, LA 70879-7053 |
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