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Search › Indiana › 1041C0700X

Shannon Colburn-Blinn, LCSW

NPI 1053766782 · on the registry since 2016 · sole proprietor

Practice

Address
2200 Lake Ave
Ste 140
Fort Wayne, IN 46805
Phone
(260) 471-2300
Organisation at this address
Gret Machlan Llc
Amedisys Sp-In, Llc
Phoenix Associates Inc.
Cates & Associates, Inc.
Project Impact Ft.In Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana