Individual
MRS. TINA MARIA BLASZCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
4680 BROWNSBORO RD RM A2, WINSTON SALEM, NC 27106-3428
(336) 261-6440
(336) 232-1436
Mailing address
740 WALKERTOWN GUTHRIE RD, WINSTON SALEM, NC 27101-6435
(313) 587-2633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NC
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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