Individual
MISS MARY ANGIE MCGUKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
304 PIERCE AVE, MACON, GA 31204-2422
(478) 751-2206
Mailing address
304 PIERCE AVE, MACON, GA 31204-2422
(478) 751-2206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007595
GA
Other
Enumeration date
05/22/2012
Last updated
04/14/2022
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