GEORGE ALVA BLACKBURN

TOOELE, UT
NPI1467759514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  6672674-6004)
Enumeration Date2011-02-24
Last Update Date2015-07-22
Business Address
Mr. GEORGE ALVA BLACKBURN CMHC
134 W 1180 N
TOOELE, UT 84074-1483
Phone number: 435-228-4181
Mailing Address
Mr. GEORGE ALVA BLACKBURN CMHC
134 W 1180 N
TOOELE, UT 84074-1483
Phone number: 435-228-4181
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