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1972724151
SUSAN BLACKBURN
CHATTANOOGA, TN
NPI
1972724151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
SUSAN BLACKBURN
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408
Phone number: 423-265-3122
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Mailing Address
SUSAN BLACKBURN
58 ADAMS RUN LANE
ROSSVILLE, GA 30741
Phone number:
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