Individual
DR. JED DANIEL BLORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MSW
Contact information
Practice address
2033 6TH AVE STE 826, SEATTLE, WA 98121-2593
(206) 414-8918
Mailing address
2033 6TH AVE STE 826, SEATTLE, WA 98121-2593
(206) 414-8918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60943169
WA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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