Individual
ERIN BLASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5413 NICOLLET AVE, MINNEAPOLIS, MN 55419-1927
(612) 760-0863
Mailing address
2821 NEVADA AVE S, MINNEAPOLIS, MN 55426-3229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19869
MN
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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