Individual
MR. EDUARDO BLASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10909 MEMORIAL HWY, TAMPA, FL 33615-2599
(813) 864-1431
Mailing address
24916 LAUREL RIDGE DR, LUTZ, FL 33559-8625
(813) 949-8834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3876
FL
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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