Nicole S Blanco, CSW

NPI #1164895009 in Provo, Utah

Provider Information

NPI Number: 1164895009
Entity Type: Individual
Name: Nicole S Blanco, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: CSW
Enumeration Date: Oct 31, 2015
Last Updated: May 22, 2018

Practice Location

Address: 1726 BUCKLEY LN
City: Provo
State: Utah
ZIP Code: 84606
Phone: (801) 373-6562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Social Worker	104100000X	Primary

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