Individual
MS. MARLA ANN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3737 S ELIZABETH ST, INDEPENDENCE, MO 64057-1759
(816) 373-7577
Mailing address
18808 E INDEPENDENCE AVE, INDEPENDENCE, MO 64056-2445
(816) 796-9280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003032213
MO
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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