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Contact Information

QUINCY M BLOXOM, DSW, MSW,CFSW
219 E BROADWAY
ATTN: THE HUDDLE OF SOUTH JERSEY & ERASE THE DIVIDE
SALEM, NJ08079
 Phone: 609-969-3068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Health & Wellness Coach

171400000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for QUINCY M BLOXOM · (Male)

NPI # 1598490534
Status Active
Credentials DSW, MSW,CFSW
Entity Individual
Enumeration date 07/22/2022
Last updated 07/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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