Logan George Bleazard, LCSW

NPI #1306108493 in Washington, Utah

Provider Information

NPI Number: 1306108493
Entity Type: Individual
Name: Logan George Bleazard, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 13, 2012
Last Updated: Aug 2, 2022

Practice Location

Address: 85 N 300 W STE A
City: Washington
State: Utah
ZIP Code: 84780-3563
Phone: (435) 414-8658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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