SHANNON COLBURN-BLINN

FORT WAYNE, IN
NPI1053766782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34007964A)
Additional Taxonomies104100000X Social Worker
(Licence: IN  33007280A)
Enumeration Date2016-05-02
Last Update Date2021-06-01
Business Address
SHANNON COLBURN-BLINN LCSW
2200 LAKE AVE STE 140
FORT WAYNE, IN 46805-5351
Phone number: 260-471-2300
Mailing Address
SHANNON COLBURN-BLINN LCSW
2250 LAKE AVE STE 110
FORT WAYNE, IN 46805-5352
Phone number: 260-702-9036