Individual
MARYJANE BLANCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 4TH ST NW, SUITE 5, DEVILS LAKE, ND 58301-2960
(701) 662-6776
(701) 662-6889
Mailing address
7535 54TH ST NE, PENN, ND 58362-9567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
603
ND
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19153
—
ND
01
—
22354
BCBSND
ND
01
—
58301-A002
TRIWEST
ND
01
—
62-56618
MEDICA UBH
ND
Enumeration date
11/16/2006
Last updated
09/11/2025
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