Individual
DEBORAH BLASTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 SAGEMORE DR STE 205, MARLTON, NJ 08053-4332
(856) 985-3030
Mailing address
206 CROOKED BILLET RD, HATBORO, PA 19040-3916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
PA
Other
Enumeration date
03/26/2007
Last updated
07/26/2007
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