Individual
ELAINE LOUISE BLINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 560-5855
(719) 560-5097
Mailing address
DEPT 1188, DENVER, CO 80291-1188
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW989348
CO
Other
Enumeration date
09/05/2006
Last updated
02/09/2012
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