MRS. Jackie C Blair, MED

NPI #1821274408 in Snowflake, Arizona

Provider Information

NPI Number: 1821274408
Entity Type: Individual
Name: MRS. Jackie C Blair, MED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - School
Credential: MED
Enumeration Date: Jan 14, 2008
Last Updated: Jan 14, 2008

Practice Location

Address: 146 SCHOOL BUS LANE
City: Snowflake
State: Arizona
ZIP Code: 85937
Phone: (928) 536-4156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary

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