Alan J Blomquist, LCSW

NPI #1750448627 in La Salle, Illinois

Provider Information

NPI Number: 1750448627
Entity Type: Individual
Name: Alan J Blomquist, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 2, 2007
Last Updated: Aug 23, 2010

Practice Location

Address: 1015 OCONOR AVE
City: La Salle
State: Illinois
ZIP Code: 61301-1216
Phone: (815) 223-0303

Specialties & Taxonomy Codes

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

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