Individual
RACHEL BLALACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 308-3747
Mailing address
1200 CHILDRENS AVE STE 2F, OKLAHOMA CITY, OK 73104-4637
(405) 317-6155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8202
OK
Other
Enumeration date
10/18/2016
Last updated
06/27/2024
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