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1396387320
SEAN BLACKWELL
CENTRALIA, WA
NPI
1396387320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-10-10
Last Update Date
2020-09-10
Business Address
Mr. SEAN BLACKWELL
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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Mailing Address
Mr. SEAN BLACKWELL
2428 W REYNOLDS AVE SW
CENTRALIA, WA 98531
Phone number: 360-330-9044
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