Individual
KATIE BLOSSFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
615 HOPE RD, EATONTOWN, NJ 07724-1277
(732) 858-5432
Mailing address
14 BROOKLAWN DR, POMPTON PLAINS, NJ 07444-1221
(973) 800-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06300700
NJ
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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