Individual
CALEB BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
1315 13TH AVE SE, DECATUR, AL 35601-4308
(256) 260-7361
(256) 260-7341
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 260-7361
(256) 341-0747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3311G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51148833
BLUE CROSS BLUE SHIELD OF AL
AL
Enumeration date
04/24/2014
Last updated
07/17/2014
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