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1376817031
MELISSA SUE BLACKBURN
TISHOMINGO, OK
NPI
1376817031
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Former Name
MELISSA DEWBRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK LPC05238)
Enumeration Date
2012-02-28
Last Update Date
2022-12-20
Business Address
Ms. MELISSA SUE BLACKBURN LPC
610 E 24TH ST
TISHOMINGO, OK 73460-3245
Phone number: 580-371-2343
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Mailing Address
Ms. MELISSA SUE BLACKBURN LPC
610 E 24TH ST
TISHOMINGO, OK 73460-3245
Phone number: 580-371-2343
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