Individual
MR. DEAN ALBERT BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 KEVINS WAY, SOUTH EASTON, MA 02375-1284
(508) 930-6671
Mailing address
9 KEVINS WAY, SOUTH EASTON, MA 02375-1284
(508) 930-6671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15061
MA
Other
Enumeration date
01/20/2017
Last updated
02/01/2017
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