Pete J Blair, MSW
Social Worker, Clinical in Lakewood, WA. Individual provider (NPI-1).
NPI number1881844512
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1881844512
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pete J Blair
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2008
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW00005971 | WA | Yes |
Practice location
8811 S Tacoma Way Ste 106Lakewood, WA 98499-4595
Phone 253-302-3826 · Fax 253-267-5212
Mailing address
8811 S Tacoma WaySte 106
Lakewood, WA 98499-4595
Phone 253-302-3826 · Fax 253-267-5212
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