Individual
MARY A BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-4335
(229) 225-4374
Mailing address
106 MINNIE SHAW RD, ADEL, GA 31620-6050
(229) 896-7822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003059
GA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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