Individual
MS. HOPE GEROCK BLEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
4245 APPLETON WAY, WILMINGTON, NC 28412-7339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A9010
NC
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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