Individual
MS. DEBORA ROSE DOLAN-BLUBAUGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 N MONROE ST, MEDIA, PA 19063-3037
(610) 891-6846
(610) 274-0226
Mailing address
168 HAMILTON RD, LANDENBERG, PA 19350-9357
(610) 891-6846
(610) 274-0226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01648128
—
PA
Enumeration date
04/26/2006
Last updated
07/09/2007
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