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1023405123
EDWIN BLAU
MOUNT VERNON, WA
NPI
1023405123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA 60496061)
Enumeration Date
2015-04-16
Last Update Date
2015-04-16
Business Address
-- EDWIN BLAU MSW
1100 S 2ND ST
MOUNT VERNON, WA 98273-4209
Phone number: 360-419-3500
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Mailing Address
-- EDWIN BLAU MSW
PO BOX 3810
EVERETT, WA 98213-8810
Phone number: 360-419-3500
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