MRS. Susan Klint Blackman

NPI #1518181320 in Monmouth, Illinois

Provider Information

NPI Number
1518181320
Entity Type
Individual
Name
MRS. Susan Klint Blackman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Apr 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1220 E 2ND AVE
ZIP Code
61462-2404
Phone
(309) 734-7902

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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