Steven Mark Blazing Jr., BS, LSW
Social Worker in Maplewood, MN. Individual provider (NPI-1).
NPI number1770017923
StatusActive
Last updated in NPPESApr 14, 2017
Details
- NPI
- 1770017923
- Entity type
- Individual (NPI-1)
- Name
- Steven Mark Blazing Jr.
- Credential
- BS, LSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2017
- Last updated
- Apr 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 24322 | MN | Yes |
Practice location
2055 White Bear Ave NMaplewood, MN 55109-3716
Phone 651-289-1202 · Fax 651-289-9900
Mailing address
2055 White Bear Ave NMaplewood, MN 55109-3716
Phone 507-519-0755 · Fax 651-289-9900
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All 12 Social Worker providers in Maplewood · All 1,400 providers in Maplewood
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