Craig Blatchford
Social Worker in Detroit, MI. Individual provider (NPI-1).
NPI number1669964847
StatusActive
Last updated in NPPESJun 4, 2018
Details
- NPI
- 1669964847
- Entity type
- Individual (NPI-1)
- Name
- Craig Blatchford
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2018
- Last updated
- Jun 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
79 W Alexandrine StDetroit, MI 48201-2015
Phone 313-262-1212
Mailing address
333 Scott StSouth Lyon, MI 48178-1427
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