Individual
CARISSA BLATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3030 W FORK RD, CINCINNATI, OH 45211-1944
(513) 619-2913
Mailing address
3030 W FORK RD, CINCINNATI, OH 45211-1944
(513) 619-2913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1502481
OH
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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