MR. Che Blaine, M.S.W., L.I.C.S.W.

NPI #1689967184 in Eastsound, Washington

Provider Information

NPI Number: 1689967184
Entity Type: Individual
Name: MR. Che Blaine, M.S.W., L.I.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: M.S.W., L.I.C.S.W.
Enumeration Date: May 17, 2011
Last Updated: May 17, 2011

Practice Location

Address: 543 NORTH BEACH ROAD
City: Eastsound
State: Washington
ZIP Code: 98245
Phone: (360) 376-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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