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Individual

LYNN BLACKBOURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2961 YARMOUTH GREENWAY DR, ST 2, FITCHBURG, WI 53711-5809
(608) 709-9672
(608) 416-1535
Mailing address
2961 YARMOUTH GREENWAY DR, ST 2, FITCHBURG, WI 53711-5809
(608) 709-9672
(608) 416-1535

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3905
WI

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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