Individual
ANGELINA BLASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
18 BROAD STREET, JOHNSON CITY, NY 13790
(607) 798-7117
Mailing address
326 HILL AVE, ENDICOTT, NY 13760-2908
(607) 321-3584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
086955-01
NY
Other
Enumeration date
03/30/2023
Last updated
10/26/2023
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