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Ms. Mary Louise Blalark
Mental Health Counselor in Durant, Oklahoma
NPI 1699054072

Mary Louise Blalark is a Mental Health Counselor based in Durant, OK and is specialized in Mental Health. Mary Louise Blalark practices in Durant, OK. The NPI Number for Mary Louise Blalark is 1699054072 and holds a License No. (Oklahoma).

The current practice location address for Mary Louise Blalark is 1604 N Washington Ave, Durant, OK and can be reached out via phone at 580-920-0909.

Location: 1604 N Washington Ave, Durant, OK, 74701-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699054072
Provider Name
Mary Louise Blalark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1604 N Washington Ave, Durant, OK, 74701-2128
Phone Number
580-920-0909
Fax Number
Provider Enumeration Date
08/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider Business Mailing Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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