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Organization

CONEBLAA FAMILY FOUNDATION CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORETTA GORDON PASTOR (DIRECTOR)
(478) 254-2878
Entity
Organization

Contact information

Practice address
1950 PINE HILL DR, MACON, GA 31217-4434
(478) 254-2878
Mailing address
1950 PINE HILL DR, MACON, GA 31217-4434
(478) 254-2878

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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