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Individual

LOUIS SAMUEL BLASETTI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
3400 CHESTNUT AVE FL 2, BALTIMORE, MD 21211-2516
(443) 732-5609
Mailing address
3400 CHESTNUT AVE FL 2, BALTIMORE, MD 21211-2516
(443) 732-5609

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6616
MD

Other

Enumeration date
08/13/2012
Last updated
04/22/2019
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