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Organization
THE SOUTHERN CENTER FOR CHOICE THEORY, LLC
Active
Organization
THE SOUTHERN CENTER FOR CHOICE THEORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CARRIMA COOKE (DEVELOPMENT DIRECTOR)
(478) 471-7785
Entity
Organization
Contact information
Practice address
144 PARK ST, MACON, GA 31210-5017
(478) 471-7785
(478) 477-7445
Mailing address
144 PARK ST, MACON, GA 31210-5017
(478) 471-7785
(478) 477-7445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC004607
GA
104100000X
Social Worker
MSW003871
GA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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