| Michelle Blank, Lcsw, Pllc | |
|
501 E 15th St 500a Edmond OK 73013-5043 | |
| (405) 888-5299 | |
| Not Available |
| Full Name | Michelle Blank, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 501 E 15th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Blank Blank (PRESIDENT) |
| Authorized Official Contact | 9182309464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Blank, Lcsw, Pllc 501 E 15th St 500a Edmond OK 73013-5043 Ph: (405) 888-5299 | Michelle Blank, Lcsw, Pllc 501 E 15th St 500a Edmond OK 73013-5043 Ph: (405) 888-5299 |
| NPI Number | 1376097618 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376097618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2265 (Oklahoma) | Primary |
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