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Organization
HEPHZIBAH CHILDRENS HOME
Active
Organization
HEPHZIBAH CHILDRENS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURNTNEY CALDELL (THERAPIST)
(478) 284-2023
Entity
Organization
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 477-3383
Mailing address
139 HOWARD ROBERTS RD, GRAY, GA 31032-4113
(478) 936-0350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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