Shantae Blackwell
NPI #1265824502 in Sicklerville, New Jersey
Provider Information
- NPI Number
- 1265824502
- Entity Type
- Individual
- Name
- Shantae Blackwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 24, 2015
- Last Updated
- Feb 24, 2015
Practice Location
- Address
- 1422 KEARSLEY RD
- City
- Sicklerville
- State
- New Jersey
- ZIP Code
- 08081-5205
- Phone
- (856) 308-5891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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