Individual
MRS. BLANCA A CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344139 E 740 RD, AGRA, OK 74824-8434
(918) 399-5266
Mailing address
344139 E 740 RD, AGRA, OK 74824-8434
(918) 399-5266
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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