KEVIN R BLALOCK

BOWLING GREEN, KY
NPI1780573477
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  258181)
Enumeration Date2025-06-30
Last Update Date2025-06-30
Business Address
Mr. KEVIN R BLALOCK LCSW, JSOCCP
3484 GLEN LILY RD
BOWLING GREEN, KY 42101-7849
Phone number: 334-441-6165
Mailing Address
Mr. KEVIN R BLALOCK LCSW, JSOCCP
3484 GLEN LILY RD
BOWLING GREEN, KY 42101-7849
Phone number: 334-441-6165