Individual
MS. INGA PATRICE BLAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
80 INDUSTRIAL PARK DR, 2B, WALDORF, MD 20602-2760
(240) 462-1016
Mailing address
80 INDUSTRIAL PARK DR, 2B, WALDORF, MD 20602-2760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G12201
MD
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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