ELLIE A BLACKBURN

GRAND RAPIDS, MI
NPI1861254518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6851121335)
Enumeration Date2024-01-29
Last Update Date2026-02-03
Business Address
ELLIE A BLACKBURN
678 FRONT AVE NW
GRAND RAPIDS, MI 49504-5325
Phone number: 616-916-3711
Mailing Address
ELLIE A BLACKBURN
130 BROOKMEADOW NORTH CT SW APT 8
GRANDVILLE, MI 49418-3247
Phone number:
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