Individual
JAMIE BLOSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
4747 MONROE ST, TOLEDO, OH 43623-4307
(833) 692-9135
Mailing address
2202 PRAME AVE, CLEVELAND, OH 44109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2103159
OH
104100000X
Social Worker
Primary
S.1302966
OH
Other
Enumeration date
02/04/2014
Last updated
04/13/2026
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