Individual
BLAIR MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 WATT AVE STE 150, SACRAMENTO, CA 95821-6245
(916) 482-1132
Mailing address
2829 WATT AVE STE 150, SACRAMENTO, CA 95821-6245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
72971
CA
Other
Enumeration date
11/11/2016
Last updated
02/11/2022
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