Blackburn, Miranda
Blackburn, Miranda is an individual health care provider with primary practice located at 68518 Bannock Rd , Saint Clairsville OH 43950-9736. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blackburn, Miranda can be contacted via phone (740) 695-5169.Contact Information
Primary practice address
68518 Bannock Rd
Saint Clairsville OH 43950-9736
Phone: (740) 695-5169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.16000279 | Ohio |
Profile Details
| NPI number | 1801248992 |
|---|---|
| LBN Legal business name | Blackburn, Miranda |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2016 |
| Last updated | Jul 13th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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