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1740764844
SEAN M BLACKBURN
LEXINGTON, KY
NPI
1740764844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 1500)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
SEAN M BLACKBURN LCSW
120 KENTUCKY AVE STE 110
LEXINGTON, KY 40502-1978
Phone number: 502-409-6993
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Mailing Address
SEAN M BLACKBURN LCSW
431 DARBY CREEK RD APT D
LEXINGTON, KY 40509-1290
Phone number: 859-619-7475
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