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Organization
KRISTIN BLACKBURN LMSW PLLC
Active
Organization
KRISTIN BLACKBURN LMSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
1945 PAULINE BLVD STE 10, ANN ARBOR, MI 48103-5047
(734) 994-1531
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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