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1891465290
SHANNON BLACKWELL
EUGENE, OR
NPI
1891465290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-16
Last Update Date
2022-09-01
Business Address
SHANNON BLACKWELL
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number: 541-393-0777
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Mailing Address
SHANNON BLACKWELL
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number: 541-393-0777
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