Individual
HOLLIS BLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
11930 MENAUL BLVD NE STE 225C, ALBUQUERQUE, NM 87112-2465
(505) 323-4447
(505) 323-5075
Mailing address
11930 MENAUL BLVD NE STE 225C, ALBUQUERQUE, NM 87112-2465
(505) 323-4447
(505) 323-5075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1-05950
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51437775
—
NM
Enumeration date
03/05/2007
Last updated
11/23/2010
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