Michelle Blank, Lcsw, Pllc

NPI #1376097618 in Edmond, Oklahoma

Provider Information

NPI Number
1376097618
Entity Type
Organization
Organization Name
Michelle Blank, Lcsw, Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Aug 3, 2016
Last Updated
Aug 3, 2016

Practice Location

Address
501 E 15TH ST
Address 2
500A
City
Edmond
ZIP Code
73013-5043
Phone
(405) 888-5299

Authorized Official

Name
BLANK BLANK
Title
PRESIDENT
Phone
(918) 230-9464

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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