Individual
STEPHANIE ELISE BLANDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
501 S MADISON ST, BLOOMINGTON, IN 47403-2452
(812) 929-2193
Mailing address
722 W ALLEN ST, BLOOMINGTON, IN 47403-4706
(217) 766-3151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011250A
IN
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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