Larry Vaughn Blair, L.I.C.S.W.
NPI #1083936181 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1083936181
- Entity Type
- Individual
- Name
- Larry Vaughn Blair, L.I.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.I.C.S.W.
- Enumeration Date
- Feb 17, 2010
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 2970 JUDICIAL ROAD
- Address 2
- SUITE 100
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337
- Phone
- (952) 224-8990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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