NATHAN ALLEN BLASA

JERSEYVILLE, IL
NPI1225604499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149023186)
Enumeration Date2021-05-28
Last Update Date2021-05-28
Business Address
NATHAN ALLEN BLASA LCSW
1006 IL-16
JERSEYVILLE, IL 62052
Phone number: 618-310-3270
Mailing Address
NATHAN ALLEN BLASA LCSW
20921 S CREEK RD
GRAFTON, IL 62037-2037
Phone number: 618-978-8453