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1700197159
STEPHANIE ANNE BLACKBURN
CHARLOTTE, NC
NPI
1700197159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C007732)
Enumeration Date
2010-06-30
Last Update Date
2024-01-10
Business Address
Mrs. STEPHANIE ANNE BLACKBURN LCSW
4412 PARK RD
CHARLOTTE, NC 28209-3130
Phone number: 980-217-6901
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Mailing Address
Mrs. STEPHANIE ANNE BLACKBURN LCSW
7503 POTTER RD S
WAXHAW, NC 28173-9242
Phone number: 704-759-6168
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