Individual
MR. EDDIE BLANDING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100
Mailing address
156 WELLINGTON AVE, ROCHESTER, NY 14611-3020
(585) 663-7070
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
086429
NY
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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