KENNETH E BLACKSTONE

FORSYTH, GA
NPI1417613852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: GA  MSW010319)
Enumeration Date2021-11-10
Last Update Date2021-11-10
Business Address
KENNETH E BLACKSTONE LMSW
295 MCCOWAN RD
FORSYTH, GA 31029-8684
Phone number: 478-960-4459
Mailing Address
KENNETH E BLACKSTONE LMSW
295 MCCOWAN RD
FORSYTH, GA 31029-8684
Phone number: 478-960-4459
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