Clydie Blackwell, RN

NPI #1063289635 in East Saint Louis, Illinois

Provider Information

NPI Number
1063289635
Entity Type
Individual
Name
Clydie Blackwell, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Addiction (Substance Use Disorder)
Credential
RN
Enumeration Date
Dec 5, 2023
Last Updated
Dec 5, 2023

Practice Location

Address
505 S 8TH ST
ZIP Code
62201-2919
Phone
(618) 474-7330

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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