Individual
SANDRA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
5 SW BROAD ST, METTER, GA 30439-4433
(912) 515-5026
Mailing address
210 N LEWIS ST, METTER, GA 30439-4135
(912) 314-4433
(912) 785-2008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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