Donna L Blazis LICSW

NPI 1669627006 - Social Worker - 104100000X

NPI Details
NPI 1669627006
Gender Female
Enumeration Date 11/26/2008
Last Updated 06/25/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
401 DIVISION ST S
SUITE C
NORTHFIELD MN, 55057-2095, US
Phone (507) 384-7714
Fax (507) 786-9728
Business Location
401 DIVISION ST S
SUITE C
NORTHFIELD MN, 55057-2095, US
Phone (507) 384-7714
Fax (507) 786-9728
Toxanomy
Taxonomy Code 104100000X
License State Minnesota
License Number 18204
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According to our database, Donna L Blazis LICSW NPI is 1669627006, taxonomy code is 104100000X and license number is 18204, license state is located at Minnesota. Donna L Blazis LICSW physically located at 401 Division St S, Northfield MN, 55057-2095. NPI Number Donna L Blazis LICSW has the Individual type.

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1669627006 NPI number is provided on an as is basis without warranty of any kind. 1669627006 is maintained by the National Plan & Provider Enumeration System. The contents of Donna L Blazis LICSW are for informational purposes only.