Individual
MS. CAROLINE MARTIN BLANCHETTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5079
(704) 853-5269
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5079
(704) 853-5269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C005123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C005123
LCSW LICENSE
NC
Enumeration date
10/11/2005
Last updated
07/08/2007
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