Provider Demographics
NPI:1265113013
Name:BLOW, SAVANNAH (LMSW)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:BLOW
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 NEMOKE TRL APT 3
Mailing Address - Street 2:
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-8616
Mailing Address - Country:US
Mailing Address - Phone:517-862-0948
Mailing Address - Fax:
Practice Address - Street 1:935 N WASHINGTON AVE STE L1
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5137
Practice Address - Country:US
Practice Address - Phone:517-301-5011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical