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
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