Edward L Blackburn
NPI #1033874722 in Southfield, Michigan
Provider Information
- NPI Number
- 1033874722
- Entity Type
- Individual
- Name
- Edward L Blackburn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 8, 2021
- Last Updated
- Nov 8, 2021
Practice Location
- Address
- 25232 CODE RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48033-5806
- Phone
- (248) 409-4185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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