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Individual

MARCIA BLANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
118 STOCKBRIDGE RD STE 104, JONESBORO, GA 30236-3627
(678) 379-8450
(678) 658-2466
Mailing address
118 STOCKBRIDGE RD STE 104, JONESBORO, GA 30236-3627
(678) 379-8450
(678) 658-2466

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011552
GA

Other

Enumeration date
08/19/2019
Last updated
05/12/2023
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