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Individual

MRS. JOYCE MACK-LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFS LMFT

Contact information

Practice address
402 CORDER RD, SUITE 200, WARNER ROBINS, GA 31088-3785
(478) 929-4962
(478) 928-4960
Mailing address
402 CORDER RD, SUITE 200, WARNER ROBINS, GA 31088-3785
(478) 929-4962
(478) 928-4960

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 000718
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
488595116A
GA
Enumeration date
05/16/2006
Last updated
12/06/2016
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