Individual
MRS. MEGGAN HANSON BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 234-7601
Mailing address
372 GREENO RD S, FAIRHOPE, AL 36532-1916
(251) 990-4190
(251) 928-0126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
08/05/2020
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