Andrea Michelle Blank, LCSW Valid NPI
Individual provider · Clinical Social Worker · Edmond, OK
- NPI
- 1114924628
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2265 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2005-06-30
- Last updated
- 2018-05-25
Practice location
501 E 15th St, Suite 500a
Edmond, OK 73013-5043
(405) 888-5299