Individual
THOMAS ANTHONY BLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 FARRINGTON ST, SAINT PAUL, MN 55103-1719
(612) 225-5311
Mailing address
709 FARRINGTON ST, SAINT PAUL, MN 55103-1719
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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