Provider Demographics
NPI:1982978102
Name:ROMO, MARIA BLONDIN (LMSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:BLONDIN
Last Name:ROMO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2578 MCLEOD DR N
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2859
Mailing Address - Country:US
Mailing Address - Phone:989-799-5440
Mailing Address - Fax:989-799-5651
Practice Address - Street 1:2578 MCLEOD DR N
Practice Address - Street 2:SUITE A
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2859
Practice Address - Country:US
Practice Address - Phone:989-799-5440
Practice Address - Fax:989-799-5651
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010897011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical