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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN GEORGE BLEAZARD, LCSW

Active

LOGAN GEORGE BLEAZARD, LCSW is a Clinical Social Worker healthcare provider located in WASHINGTON, Utah. NPI 1306108493 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WASHINGTON, UT

Registration Details

NPI Number
1306108493
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2012 (14.151811210824 yrs)
Last Updated
Aug 2, 2022
License
9422103-3501 (UT)

Practice Information

Address
85 N 300 W STE A
WASHINGTON, UT, 847803563
Browse UT providers · Browse ZIP 84780
Phone
4354148658
Fax
4353595247
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WASHINGTON, UT

Name Credential NPI
SHANNA DOWNING 1033386123
IURI TIAGO MELO LCSW 1730342858
STUART PORTER SQUIRES LCSW 1124328547
TRACEY KATHLEEN PORTER LCSW 1922490317
JAMIE SCEILI 1275135071
EFRAIN HEREDIA 1922800176
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.