Gary Fred Blank, MSW, LCSW Valid NPI
Individual provider · Clinical Social Worker · Okmulgee, OK
- NPI
- 1437320249
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2249 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-03-19
- Last updated
- 2008-03-19
Practice location
323 W 6th St
Okmulgee, OK 74447-5019
(918) 756-9250