Most Relevant Information
Provider Data
| NPI Number: | 1003012139 |
| Provider Name: | MONICA L BLIZEK LIMHP, CMSW, LADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LADC 824 |
Most Important Dates
| Enumeration Date: | 06/25/2007 |
| Last Updated: | 08/26/2016 |
Provider Practice Location
8502 MORMON BRIDGE RD
OMAHA
NE
681521929
Practice Location Phone/Fax
| Phone: | 4029918509 |
| Fax: | 4024557050 |
Provider Mailing Location
8502 MORMON BRIDGE RD
OMAHA
NE
681521929
Provider Mailing Phone/Fax
| Phone: | 4029918509 |
| Fax: | 4024557050 |