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Organization
EMILY BLAZIC LLC
Active
Organization
EMILY BLAZIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY BLAZIC LMSW (AUTHORIZED OFFICIAL)
(503) 314-8045
Entity
Organization
Contact information
Practice address
5250 NORTHLAND DR NE STE D, GRAND RAPIDS, MI 49525-1096
(503) 314-8045
Mailing address
3794 ALDEN NASH AVE NE, LOWELL, MI 49331-8592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
06/23/2025
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