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MRS. LOIS REBECCA BLOCKLEY

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1033542261

Individual Registrant:
MRS. LOIS REBECCA BLOCKLEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
215 DOGWOOD LN SE  CALHOUN, GA 30701-5118 US
Tel: 706-659-1377  Fax: 706-659-1377

Contact information for business:
215 DOGWOOD LN SE  CALHOUN, GA 30701-5118 US
Tel: 706-659-1377  Fax: 706-659-1377

Registration Information:
NPI: 1033542261
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator
N251B00000XAgencies
Case Management
N252Y00000XAgencies
Early Intervention Provider Agency

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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