Individual
MRS. DALE MARION BLODGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2316 COUNTY ROAD 913, JOSHUA, TX 76058-4641
(817) 269-2789
Mailing address
2316 COUNTY ROAD 913, JOSHUA, TX 76058-4641
(817) 269-2789
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
12202
TX
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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