Alexander Blake Martincic Durbin, BA

NPI #1457112716 in Alton, Illinois

Provider Information

NPI Number
1457112716
Entity Type
Individual
Name
Alexander Blake Martincic Durbin, BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
BA
Enumeration Date
Jan 23, 2024
Last Updated
Nov 4, 2024

Practice Location

Address
2615 EDWARDS ST
City
Alton
ZIP Code
62002-3915
Phone
(618) 462-2331

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Behavior Technician

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