Individual
JAY C BLUESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 NORTH AVENUE, BEL AIR, MD 21014-0000
(410) 420-7292
Mailing address
4 NORTH AVENUE, BEL AIR, MD 21014-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G11627
MD
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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