| Kristin Blackburn Lmsw Pllc | |
|
1945 Pauline Blvd Ste 10 Ann Arbor MI 48103-5047 | |
| (734) 994-1531 | |
| Not Available |
| Full Name | Kristin Blackburn Lmsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1945 Pauline Blvd Ste 10, Ann Arbor, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Blackburn Lmsw Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Kristin Blackburn Lmsw Pllc 1945 Pauline Blvd Ste 10 Ann Arbor MI 48103-5047 Ph: (734) 994-1531 |
| NPI Number | 1386449031 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386449031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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