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1013387992
JOSEPH BLACKWELL
MERRILLVILLE, IN
NPI
1013387992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- JOSEPH BLACKWELL M. S.
6049 BROADWAY
MERRILLVILLE, IN 46410-2619
Phone number: 219-614-8446
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Mailing Address
-- JOSEPH BLACKWELL M. S.
5234 PLAZA AVE
PORTAGE, IN 46368-6515
Phone number: 219-614-8446
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