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GRACE BLACKWOOD, LPC

LPC

Mental Health Counselor

NPI: 1104071133IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

LPC004495(GA)

CMS Specialties

PrimaryUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)

Education

OTHER

Class of 1992

Contact & Hours

Address
570 WINDSOR WAY
FAIRBURN, GA 30213

Quick Facts

NPI
1104071133
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
34

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