Individual
KATIE ELIZABETH BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 350-0711
Mailing address
213 S OAK RIDGE DR, ENTERPRISE, AL 36330-6403
(478) 363-0195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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