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Individual
MR. RAY A BLATZER
Active
Individual
MR. RAY A BLATZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MPH
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149.025300
IL
1041C0700X
Clinical Social Worker
Primary
149.025300
IL
Other
Enumeration date
10/19/2021
Last updated
02/07/2025
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