Individual
ELISA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1850 LOCKHILL SELMA RD STE 101B, SAN ANTONIO, TX 78213-1552
(210) 392-5369
Mailing address
5623 HAMILTON WOLFE APT 412, SAN ANTONIO, TX 78240-3994
(830) 486-2306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104670
TX
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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