ANDRIA BLACKSTOCK

THOMASTON, GA
NPI1083468177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies225C00000X Rehabilitation Counselor
(Licence: GA  619834)
Enumeration Date2024-04-15
Last Update Date2024-04-15
Business Address
Mrs. ANDRIA BLACKSTOCK
103 JOHN B GORDON SPUR
THOMASTON, GA 30286-6528
Phone number: 770-229-3407
Mailing Address
Mrs. ANDRIA BLACKSTOCK
103 JOHN B GORDON SPUR
THOMASTON, GA 30286-6528
Phone number: 770-229-3407