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1770692717
BLAISE CARLAND
ASHBURN, VA
NPI
1770692717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005935)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- BLAISE CARLAND LCSW
20925 PROFESSIONAL PLZ SUITE 230
ASHBURN, VA 20147-3403
Phone number: 703-338-9098
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Mailing Address
-- BLAISE CARLAND LCSW
5761 EXETER CT #160
ALEXANDRIA, VA 22311-5761
Phone number:
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