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1902102189
JOAN S BLACKBURN
PEPPER PIKE, OH
NPI
1902102189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.0005956-SUPV)
Enumeration Date
2011-02-04
Last Update Date
2011-02-04
Business Address
-- JOAN S BLACKBURN LISW-SUPV
3737 LANDER RD
PEPPER PIKE, OH 44124-5712
Phone number: 216-701-4116
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Mailing Address
-- JOAN S BLACKBURN LISW-SUPV
3737 LANDER RD
PEPPER PIKE, OH 44124-5712
Phone number: 216-701-4116
Copy
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