Individual
A. LINDA BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, BCD, QCSW
Contact information
Practice address
29 JACQUELINE DR, PAOLI, PA 19301-1715
(610) 647-2799
Mailing address
29 JACQUELINE DR, PAOLI, PA 19301-1715
(610) 647-2799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW010434L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534168000
IBC
PA
01
—
229847000
KEYSTONE
PA
01
—
7382104
AETNA
PA
Enumeration date
08/31/2006
Last updated
12/04/2015
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