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1649582420
CASEY JEAN BLACKBURN
CLARKSVILLE, TN
NPI
1649582420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN 3680)
Enumeration Date
2010-07-08
Last Update Date
2010-07-08
Business Address
-- CASEY JEAN BLACKBURN MSCFSLP
1811 MEMORIAL DR
CLARKSVILLE, TN 37043-4604
Phone number: 931-801-5131
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Mailing Address
-- CASEY JEAN BLACKBURN MSCFSLP
2307 CRYSTAL SPRING LN
HERMITAGE, TN 37076-4196
Phone number: 812-453-9353
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