Individual
JANELL A BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4480
(937) 641-5936
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700262-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02855049
—
OH
Enumeration date
05/05/2015
Last updated
10/07/2021
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