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1255977450
COREY BLASSINGALE
WILMINGTON, DE
NPI
1255977450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: DE PC-0000942)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
Mr. COREY BLASSINGALE
99 PASSMORE DR
WILMINGTON, DE 19803-1548
Phone number: 302-478-9411
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Mailing Address
Mr. COREY BLASSINGALE
2312 N 17TH ST
PHILADELPHIA, PA 19132-4405
Phone number: 215-880-2949
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