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1972018497
COLLEEN BLACKFORD
ROCKVILLE CENTRE, NY
NPI
1972018497
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Former Name
COLLEEN CREAGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 085532-1)
Enumeration Date
2017-12-06
Last Update Date
2017-12-06
Business Address
COLLEEN BLACKFORD LCSW
165 N VILLAGE AVE STE 216
ROCKVILLE CENTRE, NY 11570-3701
Phone number: 516-665-9669
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Mailing Address
COLLEEN BLACKFORD LCSW
165 N VILLAGE AVE STE 216
ROCKVILLE CENTRE, NY 11570-3701
Phone number: 516-665-9669
Copy
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