Individual
MADISON VICTORIA BAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CHRIS180, 1030 FAYETTEVILLE RD, ATLANTA, GA 30316
(404) 486-9034
Mailing address
137 BUFORD PL, MACON, GA 31204-2835
(478) 550-4710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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