KEWONNA BLANTON

VIDALIA, LA
NPI1144692831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-21
Last Update Date2015-10-21
Business Address
-- KEWONNA BLANTON
1644 CARTER ST # B
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
Mailing Address
-- KEWONNA BLANTON
1644 CARTER ST # B
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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