Individual
BLAINE MICHAEL SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS.EDS
Contact information
Practice address
10435 DOWNSVILLE PIKE, HAGERSTOWN, MD 21740-1732
(301) 766-8222
Mailing address
433 W BALTIMORE ST APT F, GREENCASTLE, PA 17225-1604
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
122033
MD
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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