Individual
SAMUEL JOSEPH BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
264 WARREN ST, NEEDHAM, MA 02492-2948
(617) 981-5925
Mailing address
264 WARREN ST, NEEDHAM, MA 02492-2948
(617) 981-5925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW227101
MA
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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