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Individual

F. ALEXANDER BLOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
279 LINCOLN ST, WORCESTER, MA 01605-2120
(508) 334-8830
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1920
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0509574
MA
Enumeration date
01/05/2006
Last updated
06/18/2012
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