Individual
SUSAN R BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3514
(602) 741-6173
Mailing address
217 HADLEIGH DR, CHERRY HILL, NJ 08003-1936
(609) 605-3011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00615400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37AC00615400
—
NJ
Enumeration date
01/03/2022
Last updated
01/22/2022
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