BANALY BLAISE

ORLANDO, FL
NPI1225578495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-03-07
Last Update Date2021-04-06
Business Address
BANALY BLAISE LCSW
8430 ROSE GROVES RD
ORLANDO, FL 32818-5689
Phone number: 407-859-2882
Mailing Address
BANALY BLAISE LCSW
8430 ROSE GROVES RD
ORLANDO, FL 32818-5689
Phone number:
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