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Individual

DR. QUINCY M BLOXOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DSW, MSW,CFSW

Contact information

Practice address
219 E BROADWAY, ATTN: THE HUDDLE OF SOUTH JERSEY & ERASE THE DIVIDE, SALEM, NJ 08079
(609) 969-3068
Mailing address
427 HIGH ST UNIT 1443, BURLINGTON, NJ 08016-4565
(609) 969-3068

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171W00000X
Contractor
Primary
251K00000X
Public Health or Welfare Agency
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
07/22/2022
Last updated
07/22/2022
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