Individual
ANDREA MICHELLE BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 E 15TH ST, SUITE 500A, EDMOND, OK 73013-5043
(405) 888-5299
(405) 888-5322
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
(405) 701-7914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2265
OK
Other
Enumeration date
06/30/2005
Last updated
05/25/2018
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