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Organization
CLB ASSOCIATES
Active
Organization
CLB ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN BLUMENTHAL (MANAGER)
(707) 566-7571
Entity
Organization
Contact information
Practice address
400 W 3RD ST, D-250, SANTA ROSA, CA 95401-7601
(707) 566-7571
Mailing address
400 W 3RD ST, D-250, SANTA ROSA, CA 95401-7601
(707) 566-7571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW5501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CSW055010
—
CA
Enumeration date
01/08/2007
Last updated
08/22/2020
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