Individual
MS. MARIBEL BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
3355 MCDANIEL RD APT 7301, DULUTH, GA 30096-8641
(678) 768-0661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN229255
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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