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1578627121
MICHAEL BLATT
BRICK, NJ
NPI
1578627121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00003400)
Enumeration Date
2006-12-20
Last Update Date
2007-07-09
Business Address
-- MICHAEL BLATT lcsw
PREFERRED BEHAVIORAL HEALTH 1500 ROUTE 88
BRICK, NJ 08724
Phone number: 732-458-1700
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Mailing Address
-- MICHAEL BLATT lcsw
205 DOVE COURT
LANOKA HARBOR, NJ 08734
Phone number: 609-693-0342
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