Individual
CRAIG BLATCHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 262-1212
Mailing address
333 SCOTT ST, SOUTH LYON, MI 48178-1427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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