Shari Blackburn
Shari Blackburn is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fort Gratiot, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2009
Practice location Address checks out
3399 Oxbow DrFort Gratiot, MI 48059-4124
Phone: (810) 990-8134
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence AF740302832 (MI) |
|---|
Record details
| NPI number | 1174850002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2009 |
| Last updated in NPPES | November 13, 2009 |
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