DEALY E. BLACKSHEAR

NOME, AK
NPI1851433668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: AK  635)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
MR. DEALY E. BLACKSHEAR LCSW
5TH AND DIVISION STREETS
NOME, AK 99762
Phone number: 907-443-3289
Mailing Address
MR. DEALY E. BLACKSHEAR LCSW
PO BOX 1802 605 LOMENS STREET
NOME, AK 99762-1802
Phone number: 907-443-3289