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1639570039
FREDRIC DARNELL BLOCKER
FAYETTEVILLE, GA
NPI
1639570039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007643)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
-- FREDRIC DARNELL BLOCKER LPC
110 HABERSHAM DR STE 116
FAYETTEVILLE, GA 30214-1381
Phone number: 770-946-2312
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Mailing Address
-- FREDRIC DARNELL BLOCKER LPC
110 HABERSHAM DR STE 116
FAYETTEVILLE, GA 30214-1381
Phone number:
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