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Individual
ELIZABETH RANDELL BLACKBURN
Active
Individual
ELIZABETH RANDELL BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60554394
WA
106H00000X
Marriage & Family Therapist
MFT000939
GA
Other
Enumeration date
04/11/2007
Last updated
05/01/2018
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