Individual ProviderDebora Rose Dolan-BlubaughSocial WorkerBehavioral Health & Social Service ProvidersPractice Address107 N Monroe St, Media, PA 19063-3037(610) 891-6846PECOS EnrollmentBased on the most recent information from CMS, provider Debora Rose Dolan-Blubaugh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1962469965Provider TypeIndividualFull NameDolan-Blubaugh, Debora RoseTitleMs.CredentialLCSWGenderFemaleEnumeration Date4/26/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address107 N Monroe St, Media, PA 19063-3037Phone(610) 891-6846Fax(610) 274-0226Mailing LocationMailing Address168 Hamilton Rd, Landenberg, PA 19350-9357Phone(610) 891-6846Fax(610) 274-0226Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW012623PennsylvaniaProvider IdentifiersIDDescriptionIssuerID01648128DescriptionMedicaidIssuerUnlistedPennsylvania