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1831893106
ALEXIS BLACKMON
MARIETTA, GA
NPI
1831893106
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Professional Name
HEALED GRACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW010705)
Enumeration Date
2023-03-29
Last Update Date
2023-05-09
Business Address
ALEXIS BLACKMON LMSW
1444 FENWICK DR SW
MARIETTA, GA 30064-2779
Phone number: 678-561-3868
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Mailing Address
ALEXIS BLACKMON LMSW
4405 MALL BLVD
UNION CITY, GA 30291-2044
Phone number: 000-000-0000
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