Blanton, Nancy Thedis

Blanton, Nancy Thedis is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blanton, Nancy Thedis can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-7391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 2047 Florida

Profile Details

NPI number 1891016143
LBN Legal business name Blanton, Nancy Thedis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Jun 21st, 2010 - about 14 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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