Individual
EDWIN BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
(360) 419-3500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60496061
WA
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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