Individual
DUSTIN BLEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 DEERFIELD PRESERVE BLVD, ST AUGUSTINE, FL 32086-5966
(904) 829-0814
Mailing address
100 DEERFIELD PRESERVE BLVD, ST AUGUSTINE, FL 32086-5966
(954) 885-9500
(904) 829-0814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18583
FL
Other
Enumeration date
05/04/2022
Last updated
01/14/2026
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