Individual
RACHEL BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QTT
Contact information
Practice address
1370 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 268-6940
Mailing address
7 W SOUTH PARK AVE, OSHKOSH, WI 54902-6533
(920) 279-0635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4798-226
WI
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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