Laura Blackburn, MSW

NPI #1003162827 in Dublin, California

Provider Information

NPI Number: 1003162827
Entity Type: Individual
Name: Laura Blackburn, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MSW
Enumeration Date: Jul 30, 2012
Last Updated: Jun 9, 2015

Practice Location

Address: 8425 N LAKE DR
Address 2: APT F
City: Dublin
State: California
ZIP Code: 94568-3403
Phone: (847) 636-1159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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