Martha Ann Blankenship, MSW,LSW

NPI #1194509026 in Carterville, Illinois

Provider Information

NPI Number: 1194509026
Entity Type: Individual
Name: Martha Ann Blankenship, MSW,LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW,LSW
Enumeration Date: Aug 22, 2023
Last Updated: Aug 22, 2023

Practice Location

Address: 403 MUNICIPAL DR
City: Carterville
State: Illinois
ZIP Code: 62918-2042
Phone: (855) 608-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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