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1073666012
KERRY D BLACKBURN
BURIEN, WA
NPI
1073666012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00005759)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mr. KERRY D BLACKBURN LICSW
929 SW 152ND ST SUITE D
BURIEN, WA 98166-1843
Phone number: 206-431-3171
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Mailing Address
Mr. KERRY D BLACKBURN LICSW
929 SW 152ND ST SUITE D
BURIEN, WA 98166-1843
Phone number: 206-431-3171
Copy
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