Search › Georgia › 104100000X
Kenneth Blackstone, LMSW
NPI 1417613852 · on the registry since 2021 · sole proprietor
Practice
- Address
- 295 Mccowan Rd
Forsyth, GA 31029 - Phone
- (478) 960-4459
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-10
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