Susan Tuttle Blalock
Social Worker, School in Columbus, OH. Individual provider (NPI-1).
NPI number1639645567
StatusActive
Last updated in NPPESOct 18, 2018
Details
- NPI
- 1639645567
- Entity type
- Individual (NPI-1)
- Name
- Susan Tuttle Blalock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2018
- Last updated
- Oct 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | I090 | OH | Yes |
Practice location
691 S 5th StColumbus, OH 43206-2120
Phone 644-443-6155 · Fax 614-444-1482
Mailing address
691 S 5th StColumbus, OH 43206-2195
Phone 614-443-6155 · Fax 614-444-1482
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