Individual
LESLIE S. BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, BCD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
06471
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074670
VALUEOPTIONS..MD /VA
MD
01
—
PV40
MAGELLAN
MD
Enumeration date
01/28/2006
Last updated
05/11/2021
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