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1982202438
SCOTT ALEXANDER BLACKBURN
PAWHUSKA, OK
NPI
1982202438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 7530-P)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
SCOTT ALEXANDER BLACKBURN LMSW-P
124 E 6TH ST
PAWHUSKA, OK 74056-4204
Phone number: 918-604-6054
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Mailing Address
SCOTT ALEXANDER BLACKBURN LMSW-P
325 S ASH ST
NOWATA, OK 74048-4628
Phone number: 918-273-7344
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