Individual
CYNTHIA JOY BLOCKSIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4075 MACLAND RD, CARE AND COUNSELING CENTER, POWDER SPRINGS, GA 30127-1504
(770) 530-0174
(770) 264-0098
Mailing address
4075 MACLAND RD, CARE AND COUNSELING CENTER, POWDER SPRINGS, GA 30127-1504
(770) 530-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW002723
CLINICAL SOCIAL WORKER LICENSE
GA
Enumeration date
04/28/2025
Last updated
04/28/2025
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