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1376097618
MICHELLE BLANK, LCSW, PLLC
EDMOND, OK
NPI
1376097618
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Entity Type
Organization
Authorized Contact
BLANK BLANK
President
918-230-9464
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 2265)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
MICHELLE BLANK, LCSW, PLLC
501 E 15TH ST 500A
EDMOND, OK 73013-5043
Phone number: 405-888-5299
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Mailing Address
MICHELLE BLANK, LCSW, PLLC
501 E 15TH ST 500A
EDMOND, OK 73013-5043
Phone number: 405-888-5299
Copy
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