Shari Blackburn
NPI #1174850002 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1174850002
- Entity Type
- Individual
- Name
- Shari Blackburn
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 13, 2009
- Last Updated
- Nov 13, 2009
Practice Location
- Address
- 3399 OXBOW DR
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-4124
- Phone
- (810) 990-8134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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