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Individual

JULIE J BLACKSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
43 HATCH DR STE 310, CARIBOU, ME 04736-2002
(207) 498-6431
Mailing address
PO BOX 1018, CARIBOU, ME 04736-1018

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC5800
ME

Other

Enumeration date
07/25/2017
Last updated
02/26/2019
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