GRACE M BLACKWOOD

FAIRBURN, GA
NPI1104071133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC004495)
Enumeration Date2008-11-18
Last Update Date2016-01-26
Business Address
-- GRACE M BLACKWOOD LPC
570 WINDSOR WAY
FAIRBURN, GA 30213-6446
Phone number: 770-365-3140
Mailing Address
-- GRACE M BLACKWOOD LPC
570 WINDSOR WAY
FAIRBURN, GA 30213-6446
Phone number: 770-365-3140
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