Individual
LASHICA M WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4378 BARRINGTON PL, MACON, GA 31210-4934
(478) 262-5525
Mailing address
4378 BARRINGTON PL, MACON, GA 31210-4934
(478) 262-5525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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