Individual
MR. JEFFREY IRA BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
475 MORGAN HIGHWAY, CHARLES LUGER BLDG, SCRANTON, PA 18508
(570) 207-7919
(570) 963-1953
Mailing address
217 WEST GROVE STREET, CLARKS SUMMIT, PA 18411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014412
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL603478
FEDERAL BLUE SHIELD
PA
Enumeration date
11/24/2006
Last updated
07/08/2007
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