ASHBINA GERMAINE BLAISE
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1295695930- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 200 CRESTVIEW CHURCH RD APT 2113, WARNER ROBINS, GA, 310883177
- Phone
- (678) 702-2736
Specialties & Taxonomies
Counselor, Professional
Primary License: GA #APC009025
All Addresses
MAILING
200 CRESTVIEW CHURCH RD APT 2113
WARNER ROBINS, GA, 310883177