Individual
MR. COREY BLASSINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 PASSMORE DR, WILMINGTON, DE 19803-1548
(302) 478-9411
Mailing address
2312 N 17TH ST, PHILADELPHIA, PA 19132-4405
(215) 880-2949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000942
DE
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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