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Contact Information

CAITLIN BLAIR
814 BROADWAY
SONOMA, CA95476
 Phone: 707-509-8031
 Fax: 707-339-8339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CAITLIN BLAIR · (Female)

NPI Number 1255193017
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2024
Last updated 01/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 103874
  • CA Medicaid 1205426905
  • CA Medicaid 86-1660470
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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