Ilene M. Blaisch, MSW, LSCW
Social Worker, Clinical in San Clemente, CA. Individual provider (NPI-1).
NPI number1356584635
StatusActive
Last updated in NPPESApr 15, 2009
Details
- NPI
- 1356584635
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ilene M. Blaisch
- Credential
- MSW, LSCW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2009
- Last updated
- Apr 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10668 | CA | Yes |
Practice location
161 Avenida CabrilloSan Clemente, CA 92672-4040
Phone 949-910-5654
Mailing address
161 Avenida CabrilloSan Clemente, CA 92672-4040
Phone 949-910-5654
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