Individual
MRS. RACHELLE ANNE BLAZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
724 N 3RD ST, BURLINGTON, IA 52601-5001
(319) 752-4000
Mailing address
400 SOUTH BROADWAY, BURLINGTON, IA 52601-9407
(319) 752-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007751
IA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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