Individual
MRS. ANDREA GLORIA BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
REBEKAH CHILDREN'S SERVICES, 290 100F AVE, GILROY, CA 95020
(408) 846-2100
Mailing address
REBEKAH CHILDREN'S SERVICES, 290 100F AVE, GILROY, CA 95020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW79333
CA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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