Damon Blank, LMFT, CGP

NPI #1578616991 in Medfield, Massachusetts

Provider Information

NPI Number: 1578616991
Entity Type: Individual
Name: Damon Blank, LMFT, CGP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Credential: LMFT, CGP
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5 W MILL ST
City: Medfield
State: Massachusetts
ZIP Code: 02052-1554
Phone: (508) 359-6631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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