MS. Grace Blanco

NPI #1205278736 in Mustang, Oklahoma

Provider Information

NPI Number: 1205278736
Entity Type: Individual
Name: MS. Grace Blanco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 25, 2013
Last Updated: Jul 25, 2013

Practice Location

Address: 704 W CARSON DR
City: Mustang
State: Oklahoma
ZIP Code: 73064-3578
Phone: (405) 431-8018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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