Individual
MR. DAVID BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1107 SPRING ST, A3, SILVER SPRING, MD 20910-4027
(240) 353-0661
(301) 589-9129
Mailing address
1107 SPRING ST, A3, SILVER SPRING, MD 20910-4027
(240) 353-0661
(301) 589-9129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10291
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K2660001
BLUECROSS BLUESHIELD
—
Enumeration date
07/25/2006
Last updated
07/08/2007
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