Individual
KENYA MONEICE BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 EXECUTIVE PARK DR NE APT 3409, ATLANTA, GA 30329-2277
(305) 849-0563
Mailing address
7 EXECUTIVE PARK DR NE APT 3409, ATLANTA, GA 30329-2277
(305) 849-0563
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003390
GA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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