Individual
MRS. URSULA DAWN BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5377
(770) 339-5016
Mailing address
1180 LILAC ARBOR RD, DACULA, GA 30019-2465
(770) 963-1940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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