Donna L Blache, LCSW
NPI #1992713416 in Murphysboro, Illinois
Provider Information
- NPI Number
- 1992713416
- Entity Type
- Individual
- Name
- Donna L Blache, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Apr 4, 2011
Practice Location
- Address
- 7 S HOSPITAL DR
- City
- Murphysboro
- State
- Illinois
- ZIP Code
- 62966-3333
- Phone
- (618) 687-3418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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