RICHARD BLACKBURN

SHAWNEE, OK
NPI1356466049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  528)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- RICHARD BLACKBURN LADC
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
Mailing Address
-- RICHARD BLACKBURN LADC
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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