Individual
MRS. LOIS REBECCA BLOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DOGWOOD LN SE, CALHOUN, GA 30701-5118
(706) 659-1377
(706) 659-1377
Mailing address
215 DOGWOOD LN SE, CALHOUN, GA 30701-5118
(706) 659-1377
(706) 659-1377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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