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1124630298
ELISA BLACKBURN
PRESTONSBURG, KY
NPI
1124630298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
ELISA BLACKBURN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
ELISA BLACKBURN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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