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Individual
MR. EDWARD BLEU
Active
Individual
MR. EDWARD BLEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
501
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
501
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC6000076656
COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
10/19/2010
Last updated
10/19/2010
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