MS. Ilene M. Blaisch, MSW, LSCW
NPI #1356584635 in San Clemente, California
Provider Information
- NPI Number
- 1356584635
- Entity Type
- Individual
- Name
- MS. Ilene M. Blaisch, MSW, LSCW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LSCW
- Enumeration Date
- Apr 15, 2009
- Last Updated
- Apr 15, 2009
Practice Location
- Address
- 161 AVENIDA CABRILLO
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4040
- Phone
- (949) 910-5654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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