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Individual

MRS. HOLLY LAZENBY-BLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 279-1119
Mailing address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 279-1116

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4273C
AL

Other

Enumeration date
08/04/2021
Last updated
01/22/2026
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