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1225578495
BANALY BLAISE
ORLANDO, FL
NPI
1225578495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-07
Last Update Date
2021-04-06
Business Address
BANALY BLAISE LCSW
8430 ROSE GROVES RD
ORLANDO, FL 32818-5689
Phone number: 407-859-2882
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Mailing Address
BANALY BLAISE LCSW
8430 ROSE GROVES RD
ORLANDO, FL 32818-5689
Phone number:
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