Mary Elizabeth Blackburn, MASTERS IN SPEC ED

NPI #1053893198 in Logansport, Indiana

Provider Information

NPI Number
1053893198
Entity Type
Individual
Name
Mary Elizabeth Blackburn, MASTERS IN SPEC ED
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
MASTERS IN SPEC ED
Enumeration Date
Sep 5, 2018
Last Updated
Sep 5, 2018

Practice Location

Address
168 W COUNTY ROAD 500 N
State
Indiana
ZIP Code
46947-8662
Phone
(260) 330-4450

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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