Individual
TERRY J. BLUM HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
42 DEER TRACK RD, SIMPSONVILLE, SC 29681-4764
(864) 458-9466
Mailing address
42 DEER TRACK RD, SIMPSONVILLE, SC 29681-4764
(864) 458-9466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7075
SC
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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