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Individual

BRIE BLANKENSHIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1402 W VIRGINIA LN, CLEARWATER, FL 33759-2327
(727) 386-3852
Mailing address
1402 W VIRGINIA LN, CLEARWATER, FL 33759-2327
(727) 386-3852

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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