Individual
MR. MARC BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., M.S., ED.M.
Contact information
Practice address
24 BALTUSROL DR, MANALAPAN, NJ 07726-9325
(732) 319-0191
Mailing address
24 BALTUSROL DR, MANALAPAN, NJ 07726-9325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174400000X
Specialist
510128931
NY
Other
Enumeration date
06/15/2012
Last updated
11/18/2021
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