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Grace Blackwood, LPC
NPI 1104071133 · on the registry since 2008 · sole proprietor
Practice
- Address
- 570 Windsor Way
Fairburn, GA 30213 - Phone
- (770) 365-3140
- Fax
- (770) 703-7915
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia