Individual
EDWARD BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
2619 W 6TH ST, SUITE A, LAWRENCE, KS 66049-4304
(785) 842-2752
(785) 842-2750
Mailing address
2619 W 6TH ST, SUITE A, LAWRENCE, KS 66049-4304
(785) 218-3965
(785) 842-2750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 2132
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069666
BLUE CROSS BLUE SHIELD KS
KS
05
—
200655550A
—
KS
Enumeration date
01/20/2006
Last updated
04/28/2011
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