Individual
CHARLES BLAMO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LLMSW
Contact information
Practice address
42669 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1653
(800) 395-3223
Mailing address
26545 AMERICAN DR, SOUTHFIELD, MI 48034-6115
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851120543
MI
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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