Individual
KYLE CHRISTOPHER BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 461-1381
Mailing address
3675 MEADOWLARK DR, EAST HELENA, MT 59635-3116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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