NANCY THEDIS BLANTON

LAKE CITY, FL
NPI1891016143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: FL  SW 2047)
Enumeration Date2010-06-21
Last Update Date2010-06-21
Business Address
MRS. NANCY THEDIS BLANTON LCSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
MRS. NANCY THEDIS BLANTON LCSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016