Individual provider · NPI-1

Blair Dantz Blonquist, LCSW

Social Worker, Clinical · Kaysville, UT

NPI number1093683708
StatusActive
Last updated in NPPESOct 24, 2025

Details

NPI
1093683708
Entity type
Individual (NPI-1)
Name
Blair Dantz Blonquist
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2025
Certification date
Oct 24, 2025
Last updated
Oct 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical8858731-3501UTYes

Practice location

498 N 900 W Ste 220
Kaysville, UT 84037-4189

Phone 801-603-1544

Mailing address

896 Ben Lomond Ave
Ogden, UT 84403-4551

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