Madison Blackman

NPI #1730987868 in Brooklyn, Ohio

Provider Information

NPI Number: 1730987868
Entity Type: Individual
Name: Madison Blackman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 5, 2025
Last Updated: Mar 5, 2025

Practice Location

Address: 4100 WESTBROOK DR APT 622
City: Brooklyn
State: Ohio
ZIP Code: 44144-1259
Phone: (440) 789-4365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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