MICHAEL BLACKBURN

LOUISA, KY
NPI1093437030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-09-15
Last Update Date2022-09-15
Business Address
MICHAEL BLACKBURN TCM
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
MICHAEL BLACKBURN TCM
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938