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Individual
MICHAEL BLATT
Active
Individual
MICHAEL BLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00003400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
01
—
239574
MHN
NJ
01
—
66615
VALUE OPTION
NJ
Enumeration date
12/20/2006
Last updated
07/09/2007
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