STEPHEN DANIEL BLACKMAN

MASON CITY, IA
NPI1073974895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-03-08
Last Update Date2016-03-08
Business Address
-- STEPHEN DANIEL BLACKMAN B.A.
320 N EISENHOWER AVE
MASON CITY, IA 50401-1521
Phone number: 641-243-7235
Mailing Address
-- STEPHEN DANIEL BLACKMAN B.A.
320 N EISENHOWER AVE
MASON CITY, IA 50401-1521
Phone number: 641-243-7235
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