Individual
DAMON BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, CGP
Contact information
Practice address
5 W MILL ST, MEDFIELD, MA 02052-1554
(508) 359-6631
(508) 359-6631
Mailing address
5 W MILL ST, MEDFIELD, MA 02052-1554
(508) 359-6631
(508) 359-6631
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6
MA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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