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Organization

SANDRA L BLANTON LMHC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA L BLANTON LMHC (PSYCHOTHERAPIST)
(561) 762-9952
Entity
Organization

Contact information

Practice address
14080 SE 27TH CT, SUMMERFIELD, FL 34491-2806
(561) 762-9952
Mailing address
14080 SE 27TH CT, SUMMERFIELD, FL 34491-2806
(561) 762-9952

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8524
FL
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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