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1114924628
ANDREA MICHELLE BLANK
EDMOND, OK
NPI
1114924628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 2265)
Enumeration Date
2005-06-30
Last Update Date
2018-05-25
Business Address
-- ANDREA MICHELLE BLANK LCSW
501 E 15TH ST SUITE 500A
EDMOND, OK 73013-5043
Phone number: 405-888-5299
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Mailing Address
-- ANDREA MICHELLE BLANK LCSW
15951 LITTLE AXE DR
NORMAN, OK 73026-9088
Phone number: 405-447-0300
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