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1164613725
NOEL L. BLACKBURN
EVANSTON, IL
NPI
1164613725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.005978)
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
Dr. NOEL L. BLACKBURN LCSW, PH.D.
2500 RIDGE AVE SUITE 305
EVANSTON, IL 60201-2455
Phone number: 847-328-6999
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Mailing Address
Dr. NOEL L. BLACKBURN LCSW, PH.D.
2500 RIDGE AVE SUITE 305
EVANSTON, IL 60201-2455
Phone number: 847-328-6999
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