Individual
MS. MARY HEATHER MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2607 VINEVILLE AVE, MACON, GA 31204-0933
(478) 227-0069
(478) 818-1966
Mailing address
292 LAKEVIEW DR, MACON, GA 31211-6120
(478) 227-0069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW005145
GA
1041C0700X
Clinical Social Worker
CSW005145
GA
Other
Enumeration date
01/04/2018
Last updated
06/04/2024
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