Individual
MRS. DIXIE BLEVINS-BOZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(571) 331-9018
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946516
WV
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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