SHANNON BLALOCK

CAMILLA, GA
NPI1629408448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-11-14
Last Update Date2013-11-14
Business Address
-- SHANNON BLALOCK MS
198 S MACARTHUR DR
CAMILLA, GA 31730-6370
Phone number: 229-336-2247
Mailing Address
-- SHANNON BLALOCK MS
198 S MACARTHUR DR
CAMILLA, GA 31730-6370
Phone number: 229-336-2247
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