| Jettie A Blanton, MSW, LCSW | |
| 
					1741 Sycamore Ave, Kingman, AZ 86409-0927  | |
| (928) 757-8111 | |
| (928) 757-1199 | 
| Full Name | Jettie A Blanton | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1741 Sycamore Ave, Kingman, Arizona | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275868952 | NPI | - | NPPES | 
| 468913 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12845 (Arizona) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jettie A Blanton, MSW, LCSW 3707 N Stockton Hill Rd Ste B, Kingman, AZ 86409-0507 Ph: (928) 757-8111  | Jettie A Blanton, MSW, LCSW 1741 Sycamore Ave, Kingman, AZ 86409-0927 Ph: (928) 757-8111  | 
Roberto Hernandez Torres, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 Western Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-3256  | |
Mr. Kenneth L Gaspar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1741 Sycamore Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-3256  | |
Ms. Bernice Isabel Greene, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1726 E Beverly Ave, Kingman, AZ 86409 Phone: 928-692-0080 Fax: 928-717-7494  | |
Kristine K Hyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 Western Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-1199  | |
Dorothy Denise Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 964 Gates Ave, Kingman, AZ 86401 Phone: 928-279-1662  | |
Mrs. Alexis Kaye Stewart, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2668 Hualapai Mountain Rd, Kingman Cboc, Kingman, AZ 86401 Phone: 928-692-0080  |