Individual
BARBARA JANE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
320 S OAK ST, CALIFORNIA, MO 65018-1824
(573) 645-0968
Mailing address
320 S OAK ST, CALIFORNIA, MO 65018-1824
(573) 645-0968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
81384965200
MO
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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