Individual
CARLTON WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 E CHURCH ST, FORT VALLEY, GA 31030-3097
(404) 277-9395
Mailing address
410 E CHURCH ST, FORT VALLEY, GA 31030-3097
(404) 277-9395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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