Individual
CLAIRE BLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
P.O. BOX 19516 5500 NICOLLET AVE, MINNEAPOLIS, MN 55419-1930
(612) 888-4059
Mailing address
P.O. BOX 19516 5500 NICOLLET AVE, MINNEAPOLIS, MN 55419-1930
(612) 888-4059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30405
MN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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