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1104384395
DANIEL ALAN BLAINE
DAYTON, OH
NPI
1104384395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH 1903339)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
DANIEL ALAN BLAINE LSW
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 937-268-6511
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Mailing Address
DANIEL ALAN BLAINE LSW
421 W BROADWAY ST
TIPP CITY, OH 45371-1642
Phone number: 937-286-8338
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