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Organization
MARY BLOTZER LCSW C PA
Active
Organization
MARY BLOTZER LCSW C PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A BLOTZER LCSW C (PRESIDENT)
(240) 374-3263
Entity
Organization
Contact information
Practice address
7310 QUANTUM LEAP LN, BOWIE, MD 20720-4301
(240) 374-3263
Mailing address
7310 QUANTUM LEAP LN, BOWIE, MD 20720-4301
(240) 374-3263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05557
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014653600
—
MD
Enumeration date
03/05/2008
Last updated
03/01/2011
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