Individual
ADAM BLEVISS WHITLATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W WALNUT ST STE 375, PASADENA, CA 91124-0001
(626) 395-7100
Mailing address
100 W WALNUT ST STE 375, PASADENA, CA 91124-0001
(626) 397-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
90040
CA
Other
Enumeration date
05/17/2019
Last updated
07/10/2019
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