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1114332038
AIMEE BLACKHAM
RUSTON, LA
NPI
1114332038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: LA 1373)
Enumeration Date
2014-06-30
Last Update Date
2016-09-30
Business Address
Dr. AIMEE BLACKHAM PhD
617 S TRENTON ST
RUSTON, LA 71270-5040
Phone number: 318-251-4659
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Mailing Address
Dr. AIMEE BLACKHAM PhD
3506 EVELYN CIR
RUSTON, LA 71270-5323
Phone number: 318-243-0465
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