Individual
JANAP BLOEMETJIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1102 CHESTNUT RD NW, HUNTSVILLE, AL 35816-2310
(256) 603-8076
Mailing address
1102 CHESTNUT RD NW, HUNTSVILLE, AL 35816-2310
(256) 603-8076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1044C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51533221
BCBS
AL
Enumeration date
10/13/2006
Last updated
06/03/2013
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