Individual
SARAH BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 8TH AVE, SILVIS, IL 61282-2329
(815) 499-0262
Mailing address
516 8TH AVE, SILVIS, IL 61282-2329
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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