Individual
KATELYN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CAPSW
Contact information
Practice address
620 S 76TH ST, SUITE 220, MILWAUKEE, WI 53214-1599
(414) 238-1176
Mailing address
633 S 60TH ST, MILWAUKEE, WI 53214-1847
(414) 238-1176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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