Individual
MS. DAMETRIA BLASSINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1833 BOULEVARD, JACKSONVILLE, FL 32206-4382
(904) 244-8404
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW23665
FL
Other
Enumeration date
11/25/2024
Last updated
03/04/2025
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