Penny Blazej Licensed Clinical Social Worker Prof Corp
NPI #1821279043 in Valley Center, California
Provider Information
- NPI Number
- 1821279043
- Entity Type
- Organization
- Organization Name
- Penny Blazej Licensed Clinical Social Worker Prof Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PENNY BLAZEJ LICENSED CLINICAL SOCIAL WORKER PROF CORP
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Nov 15, 2007
Practice Location
- Address
- 28714 VALLEY CENTER ROAD
- Address 2
- SUITE E
- City
- Valley Center
- State
- California
- ZIP Code
- 92082
- Phone
- (760) 685-3403
Authorized Official
- Name
- MRS. PENNY ANNETTE BLAZEJ, LCSW BCD
- Title
- OWNER
- Phone
- (760) 685-3403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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