BYRON BLACKBURN

WEST FRANKFORT, IL
NPI1508223306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-01-25
Last Update Date2016-01-25
Business Address
BYRON BLACKBURN
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
Mailing Address
BYRON BLACKBURN
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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