# A. LINDA BLAIR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184735557
- **Gender:** F
- **Credential:** MSW, LCSW, BCD, QCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | CW010434L | PA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0534168000 | IBC | PA |
| 01 | — | 229847000 | KEYSTONE | PA |
| 01 | — | 7382104 | AETNA | PA |