| Larry Vaughn Blair, LICSW | |
|
2970 Judicial Road, Suite 100, Burnsville, MN 55337 | |
| (952) 224-8990 | |
| (952) 224-8991 |
| Full Name | Larry Vaughn Blair |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2970 Judicial Road, Burnsville, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083936181 | NPI | - | NPPES |
| 708390400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10727 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Vaughn Blair, LICSW 2970 Judicial Road, Suite 100, Burnsville, MN 55337 Ph: (952) 224-8990 | Larry Vaughn Blair, LICSW 2970 Judicial Road, Suite 100, Burnsville, MN 55337 Ph: (952) 224-8990 |
Ms. Mary Kay Hill, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 Echo Dr, Burnsville, MN 55337 Phone: 763-222-6042 | |
Lauren Mary Schairer, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 617-335-9528 | |
Jibril Abdi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Mcandrews Rd W Ste 203, Burnsville, MN 55337 Phone: 507-213-6393 | |
Ms. Ariel Goltzman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14300 Nicollet Ct, Suite 130, Burnsville, MN 55306 Phone: 952-435-8814 | |
Dawn Ebeling, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990 | |
Kallie Joy Bennett, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14301 Ewing Ave S, Burnsville, MN 55306 Phone: 952-746-5350 |