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Organization

BLUNTLY COACHED, LLC

Active
Find providers by NPI
Organization

BLUNTLY COACHED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GANIYAT BADMUS (CHIEF EXECUTIVE OFFICER)
(443) 754-2164
Entity
Organization

Contact information

Practice address
11779 SOMERSET AVE STE 12, PRINCESS ANNE, MD 21853-1271
(443) 754-2164
(866) 993-1076
Mailing address
11779 SOMERSET AVE STE 12, PRINCESS ANNE, MD 21853-1271
(443) 754-2164
(866) 993-1076

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302168800
MD
Enumeration date
03/07/2019
Last updated
01/09/2020
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