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1841849015
STACIE BLALOCK
LAKELAND, FL
NPI
1841849015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
STACIE BLALOCK
1010 E ROSE ST
LAKELAND, FL 33801-2016
Phone number: 863-413-3126
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Mailing Address
STACIE BLALOCK
1010 E ROSE ST
LAKELAND, FL 33801-2016
Phone number:
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