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MATTHEW BLANKERS ACSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1487217816

Individual Registrant:
 MATTHEW  BLANKERS ACSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
162J GROVE ST  BISHOP, CA 93514-2640 US
Tel: 760-873-6533  Fax: 760-873-3277

Contact information for business:
162J GROVE ST  BISHOP, CA 93514-2640 US
Tel: 760-873-6533  Fax: 760-873-3277

Registration Information:
NPI: 1487217816
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
CAASW87552

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CALIFORNIAASW87552CA01




HEALTH CARE JOBS CA - Page 1



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