STEPHANIE NICOLE BLASS

IRVING, TX
NPI1548906761
Other NameNIKKI N BLASS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  68715)
Enumeration Date2022-05-10
Last Update Date2022-05-10
Business Address
STEPHANIE NICOLE BLASS LCSW
1417 BEN DR
IRVING, TX 75061-7815
Phone number: 817-845-2746
Mailing Address
STEPHANIE NICOLE BLASS LCSW
1417 BEN DR
IRVING, TX 75061-7815
Phone number: 817-845-2746