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Individual

DANIEL WILLIAM BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(423) 933-8739
Mailing address
5742 OLD SALT LOOP, GIG HARBOR, WA 98335-7699
(423) 933-8739

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C015376
NC

Other

Enumeration date
10/25/2022
Last updated
10/25/2022
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