Shantae Blackwell
Shantae Blackwell is a Mental Health Counselor in Sicklerville, New Jersey. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1422 Kearsley RdSicklerville, NJ 08081-5205
Phone: (856) 308-5891
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1265824502 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 24, 2015 |
| Last updated in NPPES | February 24, 2015 |
| Mailing address | 770 Woodlane Rd, Westampton, NJ 08060-3804 |
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