Individual
JENNY SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 RIVOLI DR, MACON, GA 31210-4105
(478) 390-6408
Mailing address
4855 RIVOLI DRIVE, MACON, GA 31210
(478) 390-6408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007203
GA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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