Individual
EUNICE MALAVE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 SPRING ST, MACON, GA 31210
(567) 712-1111
Mailing address
PO BOX 28991, MACON, GA 31221-8991
(567) 712-1111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005330
GA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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