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Contact Information

MARLON L BLANKS, LICENSE CLINICAL SOC
6655 W SAHARA AVE STE A112
LAS VEGAS, NV89146-2805
 Phone: 702-462-1813
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARLON L BLANKS · (Male)

NPI Number 1629139696
Status Active
Credentials LICENSE CLINICAL SOC
Entity Individual
Enumeration date 12/13/2006
Last updated 12/11/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 7112-C
  • NV Medicaid 1629139696
  • NV Other 1629139696 TRICARE WEST
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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