Individual
BLAINE DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
Mailing address
11 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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