SUSAN KLINT BLACKMAN

MONMOUTH, IL
NPI1518181320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: IL  SB22990398P)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
Mrs. SUSAN KLINT BLACKMAN
1220 E 2ND AVE
MONMOUTH, IL 61462-2404
Phone number: 309-734-7902
Mailing Address
Mrs. SUSAN KLINT BLACKMAN
2261 US HIGHWAY 67
MONMOUTH, IL 61462-9694
Phone number: 309-734-7902
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