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1902954027
JILL BLACKWELDER
STATESVILLE, NC
NPI
1902954027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 2135)
Enumeration Date
2007-01-08
Last Update Date
2012-07-17
Business Address
-- JILL BLACKWELDER LPCS, CCS, LCAS, NCC
536 SIGNAL HILL DRIVE EXTENSION
STATESVILLE, NC 28625
Phone number: 704-872-0234
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Mailing Address
-- JILL BLACKWELDER LPCS, CCS, LCAS, NCC
536 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4391
Phone number: 704-872-0234
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