Search › South Carolina › 1041C0700X
Mikki Blackman, MSW
NPI 1629116751 · on the registry since 2007 · sole proprietor
Practice
- Address
- 108 Rutherford St
Summerville, SC 29483 - Phone
- (843) 437-5994
- Fax
- (843) 875-2189
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina