Blair, Susan B
Blair, Susan B is an individual health care provider with primary practice located at 1424 Summit Ave , Fort Worth TX 76102-5912. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Blair, Susan B can be contacted via phone (817) 335-4041.Contact Information
Primary practice address
1424 Summit Ave
Fort Worth TX 76102-5912
Phone: (817) 335-4041
Fax: (817) 336-0201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 04743 | Texas |
Profile Details
| NPI number | 1508138942 |
|---|---|
| LBN Legal business name | Blair, Susan B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2012 |
| Last updated | Feb 1st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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