Individual
MARIEL J BLOMSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
283 ERIE ST, SAINT PAUL, MN 55102-2822
(651) 402-2286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23380
MN
Other
Enumeration date
10/19/2018
Last updated
03/15/2022
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