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Jimmie M Blackmon

Social Worker in Tallahassee, FL. Individual provider (NPI-1).

NPI number1689150310
StatusActive
Last updated in NPPESJul 16, 2018

Details

NPI
1689150310
Entity type
Individual (NPI-1)
Name
Jimmie M Blackmon
Sex
Male
Sole proprietor
No
Enumeration date
Jul 16, 2018
Last updated
Jul 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
1041C0700X Social Worker, Clinical––

Practice location

2737 Centerview Drive Knight Building
Tallahassee, FL 32399

Phone 850-488-1850

Mailing address

2701 N Rocky Point Dr Ste 650
Tampa, FL 33607-5999

Phone 800-434-4686

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