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Individual

CARLEISE BLOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1062 ALEXANDER DR, AUGUSTA, GA 30909-2202
(706) 955-7687
(706) 535-3596
Mailing address
1062 ALEXANDER DR, AUGUSTA, GA 30909-2202
(706) 955-7687
(706) 535-3596

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-438943
GA

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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