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1972918332
SALLY BLACKBURN
SAINT LOUIS, MO
NPI
1972918332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2002032317)
Enumeration Date
2014-06-24
Last Update Date
2014-06-24
Business Address
-- SALLY BLACKBURN LPC
7955 BIG BEND BLVD
SAINT LOUIS, MO 63119-2703
Phone number: 314-968-2216
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Mailing Address
-- SALLY BLACKBURN LPC
7955 BIG BEND BLVD
SAINT LOUIS, MO 63119-2703
Phone number: 314-968-2216
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