Individual
ASHLIN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP,BCBA
Contact information
Practice address
1362 SASSAFRASS CIR, MOUNT PLEASANT, SC 29466
(520) 256-4951
Mailing address
1362 SASSAFRASS CIR, MOUNT PLEASANT, SC 29466-8077
(520) 256-4951
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-14996
SC
1041C0700X
Clinical Social Worker
Primary
12419
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1926
—
SC
Enumeration date
12/23/2013
Last updated
02/20/2024
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