Most Relevant Information
Provider Data
| NPI Number: | 1003338617 |
| Provider Name: | STACY BLAZIO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2017 |
| Last Updated: | 06/01/2018 |
Provider Practice Location
401 W MORRIS AVE
HAMMOND
LA
70403
Practice Location Phone/Fax
| Phone: | 5670000000 |
| Fax: |
Provider Mailing Location
401 W MORRIS AVE
HAMMOND
LA
704034121
Provider Mailing Phone/Fax
| Phone: | 5043043737 |
| Fax: |