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Organization
V. BLAKEMAN PSYCHOTHERAPY LLC
Active
Organization
V. BLAKEMAN PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA BLAKEMAN LCSW (OWNER)
(843) 424-3465
Entity
Organization
Contact information
Practice address
2 CLERICO LN STE 103, HILLSBOROUGH, NJ 08844-1620
(843) 424-3465
Mailing address
PO BOX 5705, HILLSBOROUGH, NJ 08844-5705
(843) 424-3465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05744600
NJ
Other
Enumeration date
11/29/2017
Last updated
11/28/2022
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