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Organization
THE SOUTHERN CENTER FOR CHOICE THEORY
Active
Organization
THE SOUTHERN CENTER FOR CHOICE THEORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. GLORIA SMITH CISSE LMSW, LPC (CEO/LEAD THERAPIST)
(478) 741-1268
Entity
Organization
Contact information
Practice address
411 HOLT AVE, MACON, GA 31204-3667
(478) 741-1268
(478) 741-1269
Mailing address
411 HOLT AVE, MACON, GA 31204-3667
(478) 741-1268
(478) 741-1269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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