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1891343596
STACY BLALOCK
MCDONOUGH, GA
NPI
1891343596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC011063)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
STACY BLALOCK LPC
1944 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number: 678-289-6981
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Mailing Address
STACY BLALOCK LPC
114 RIVEREDGE DR
MCDONOUGH, GA 30252-4141
Phone number: 770-605-5953
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