Individual
MR. LARRY BLANDING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 N. MAGNOLIA ST., SWCMHC, SUMTER, SC 29151-1946
(803) 775-9364
(803) 773-6615
Mailing address
215 N. MAGNOLIA ST., SWCMHC, SUMTER, SC 29151-1946
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
SC
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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