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1891016143
NANCY THEDIS BLANTON
LAKE CITY, FL
NPI
1891016143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW 2047)
Enumeration Date
2010-06-21
Last Update Date
2010-06-21
Business Address
MRS. NANCY THEDIS BLANTON LCSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
MRS. NANCY THEDIS BLANTON LCSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Copy
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