Individual
BLAIR DANTZ BLONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
498 N 900 W STE 220, KAYSVILLE, UT 84037-4189
(801) 603-1544
Mailing address
896 BEN LOMOND AVE, OGDEN, UT 84403-4551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8858731-3501
UT
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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