Matthew Blankers, ACSW Valid NPI
Individual provider · Social Worker · Bishop, CA
- NPI
- 1487217816
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- ASW87552 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-04-22
- Last updated
- 2019-04-22
Practice location
162j Grove St
Bishop, CA 93514-2640
(760) 873-6533