Individual
DAVID BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 833-6269
(313) 831-2604
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 831-2604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4587
KY
1041C0700X
Clinical Social Worker
Primary
6801094685
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/05/2007
Last updated
04/08/2013
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