Individual
MARLA ALICIA MIDDLEBROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 PARK DR, BONAIRE, GA 31005-3830
(478) 213-6581
Mailing address
129 PARK DR, BONAIRE, GA 31005-3830
(478) 213-6581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/15/2016
Last updated
05/15/2016
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