Individual
MCKAYLA MARIE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
801 LILLY RD NE APT 335, OLYMPIA, WA 98506-7021
(253) 325-3213
Mailing address
801 LILLY RD NE APT 335, OLYMPIA, WA 98506-7021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61171655
WA
Other
Enumeration date
02/21/2018
Last updated
12/01/2021
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