Lydia C.w. Blackman-Johnson

NPI #1336495811 in Lehigh Acres, Florida

Provider Information

NPI Number: 1336495811
Entity Type: Individual
Name: Lydia C.w. Blackman-Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 2, 2012
Last Updated: Aug 2, 2012

Practice Location

Address: 128 GORDAN AVENUE S.
City: Lehigh Acres
State: Florida
ZIP Code: 33973
Phone: (239) 603-5425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Social Worker	104100000X

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