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Individual

MR. GEORGE W BLOUNT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LMHC

Contact information

Practice address
108 N MAIN ST, SUITE 500, SOUTH BEND, IN 46601
(574) 246-1244
(574) 246-1250
Mailing address
330 W LEXINGTON AVE, SUITE 206, ELKHART, IN 46516
(574) 293-5991
(574) 293-5429

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39001415A
IN

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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