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1316246838
TINA M BLACKWELL
LEBANON, OH
NPI
1316246838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C-500248)
Enumeration Date
2011-03-23
Last Update Date
2011-09-08
Business Address
-- TINA M BLACKWELL PC
204 COOK RD
LEBANON, OH 45036-9600
Phone number: 513-695-1357
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Mailing Address
-- TINA M BLACKWELL PC
975 KINGVIEW DRIVE SUITE 400
LEBANON, OH 45036-8336
Phone number: 513-228-7854
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