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Individual

DANIEL BLEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISAC

Contact information

Practice address
1076 W CHANDLER BLVD STE 113, CHANDLER, AZ 85224-5205
(480) 809-6230
Mailing address
1076 W CHANDLER BLVD STE 113, CHANDLER, AZ 85224-5205
(480) 809-6010

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
15079
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15079
AZ

Other

Enumeration date
01/11/2018
Last updated
11/09/2022
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