Individual
JAMES ROBERT BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 S 5TH ST, FORT PIERCE, FL 34950-8339
(772) 468-5610
(772) 468-5633
Mailing address
709 S 5TH ST, FORT PIERCE, FL 34950-8339
(772) 468-5610
(772) 468-5633
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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