Blomgren, Marideanne
Blomgren, Marideanne is an sole proprietor health care provider with primary practice located at 127 Andover Dr , Kendall Park NJ 08824-7026. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blomgren, Marideanne can be contacted via phone (732) 422-7669.Contact Information
Primary practice address
127 Andover Dr
Kendall Park NJ 08824-7026
Phone: (732) 422-7669
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PC 00003200 | New Jersey |
Profile Details
NPI number | 1528033040 |
---|---|
LBN Legal business name | Blomgren, Marideanne |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 19th, 2006 |
Last updated | Nov 8th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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