Individual
TERESA B BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 HILLANDALE LN, LITHONIA, GA 30058-8843
(404) 822-9452
(404) 393-4766
Mailing address
PO BOX 1715, LITHONIA, GA 30058-1020
(404) 822-9452
(404) 393-4766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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