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Individual

MR. CHE BLAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W., L.I.C.S.W.

Contact information

Practice address
543 NORTH BEACH ROAD, EASTSOUND, WA 98245
(360) 376-4222
Mailing address
PO BOX 477, EASTSOUND, WA 98245-0477
(360) 376-4222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006118
WA

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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