Individual
BLAISE MCKEON PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 COURT ST STE 901, BROOKLYN, NY 11201-4879
(347) 328-8110
Mailing address
50 COURT ST STE 910, BROOKLYN, NY 11201-4879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
093516-01
NY
Other
Enumeration date
11/06/2019
Last updated
06/17/2022
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