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1659818920
CHRISTINE BLACKBURN
SIOUX CITY, IA
NPI
1659818920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 13015)
Enumeration Date
2017-01-25
Last Update Date
2018-10-17
Business Address
CHRISTINE BLACKBURN CADC
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone number: 712-234-2382
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Mailing Address
CHRISTINE BLACKBURN CADC
1221 PIERCE ST
SIOUX CITY, IA 51105-1418
Phone number: 712-255-0204
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