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Individual

STEPHANIE M BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CADC, LMHC

Contact information

Practice address
225 NW SCHOOL ST, ANKENY, IA 50023-1746
(515) 964-5003
Mailing address
4038 MORTON AVE, DES MOINES, IA 50317-5562
(515) 306-2189

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001203
IA

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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