Individual
PATRICIA ANN BLONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 MAIN AVE, SUITE 6, TILLAMOOK, OR 97141-2240
(503) 801-0369
Mailing address
855 TONE ROAD, TILLAMOOK, OR 97141
(503) 801-0369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5596
OR
Other
Enumeration date
05/30/2013
Last updated
11/02/2015
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