Mrs. Susan Klint Blackman
Mrs. Susan Klint Blackman is a Developmental Therapist in Monmouth, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
1220 E 2nd AveMonmouth, IL 61462-2404
Phone: (309) 734-7902
Fax: (309) 734-7114
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X · Licence SB22990398P (IL) |
|---|
Record details
| NPI number | 1518181320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
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