Individual
STACEY BLOMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4211 GOVERNMENT BLVD, MOBILE, AL 36693-4813
(251) 277-2137
Mailing address
4211 GOVERNMENT BLVD, MOBILE, AL 36693-4813
(251) 277-2137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2396C
AL
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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