Individual
MRS. LAUREN ELIZABETH BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
Mailing address
2201 POWDERLY RD, VALPARAISO, IN 46383-4086
(734) 417-1351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007365A
IN
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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