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1063805380
HOLEN BLACKBURN
LAFAYETTE, IN
NPI
1063805380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002659A)
Enumeration Date
2015-03-11
Last Update Date
2017-04-09
Business Address
-- HOLEN BLACKBURN
1000 SAGAMORE PKWY N #207
LAFAYETTE, IN 47904-2461
Phone number: 765-446-0006
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Mailing Address
-- HOLEN BLACKBURN
1000 SAGAMORE PKWY N #207
LAFAYETTE, IN 47904-2461
Phone number: 765-446-0006
Copy
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