Individual
EUTOKA QUILLINGS-BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4502 THOMASVILLE DR, ACWORTH, GA 30101-5549
(404) 578-7563
Mailing address
16 HAWKSTONE CT, ACWORTH, GA 30101-5978
(404) 578-7563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011897
GA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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