Susan Joann Blackwell
NPI #1942335690 in Redondo Beach, California
Provider Information
- NPI Number
- 1942335690
- Entity Type
- Individual
- Name
- Susan Joann Blackwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 310 S PROSPECT AVE APT 7
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-3545
- Phone
- (310) 373-4556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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