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1598474900
SONI ELIZABETH BLACKBURN
COVINGTON, GA
NPI
1598474900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW010507)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
SONI ELIZABETH BLACKBURN LMSW
215 KIRKLAND RD
COVINGTON, GA 30016-3318
Phone number: 678-209-2770
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Mailing Address
SONI ELIZABETH BLACKBURN LMSW
215 KIRKLAND RD
COVINGTON, GA 30016-3318
Phone number: 678-209-2770
Copy
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