Individual
DAVID BLANTON
Active
Individual
DAVID BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
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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