Individual
DR. MARI ELLEN BLOING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMSW
Contact information
Practice address
11 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-1254
(803) 434-4918
Mailing address
136 BUCKBOARD RD, LEXINGTON, SC 29072-9519
(803) 359-6843
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6070
SC
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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