MARIO BLACKSTON

BRIDGEVILLE, PA
NPI1962747519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
-- MARIO BLACKSTON
316 STATION ST
BRIDGEVILLE, PA 15017-1833
Phone number: 412-221-1091
Mailing Address
-- MARIO BLACKSTON
316 STATION ST
BRIDGEVILLE, PA 15017-1833
Phone number: 412-221-1091
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