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1801248992
MIRANDA BLACKBURN
SAINT CLAIRSVILLE, OH
NPI
1801248992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.16000279)
Enumeration Date
2016-07-13
Last Update Date
2016-07-13
Business Address
Ms. MIRANDA BLACKBURN LISW
68518 BANNOCK RD
SAINT CLAIRSVILLE, OH 43950-9736
Phone number: 740-695-5169
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Mailing Address
Ms. MIRANDA BLACKBURN LISW
68518 BANNOCK RD
SAINT CLAIRSVILLE, OH 43950-9736
Phone number: 740-695-5169
Copy
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