Blue Pine Psych Services LLC

NPI #1114780533 in Milford, Ohio

Provider Information

NPI Number
1114780533
Entity Type
Organization
Organization Name
Blue Pine Psych Services LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 31, 2024
Last Updated
Jan 31, 2024

Practice Location

Address
19 WATER ST
State
Ohio
ZIP Code
45150-1104
Phone
(231) 620-6085

Authorized Official

Name
MRS. ELIZABETH MARY SWAN, MSW
Title
OWNER/CEO
Phone
(231) 620-6085

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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