Individual
MONTEAGER LASHA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 RIVERSIDE DR, MACON, GA 31201-2611
(478) 477-3813
Mailing address
2042 RESERVE PKWY, MCDONOUGH, GA 30253-7433
(440) 865-9447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007009
GA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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