Individual
DR. GWENDOLYN MACHELLE GARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
1104 N 2ND ST, GRIFFIN, GA 30223-1643
(470) 214-1070
(770) 467-9680
Mailing address
1104 N 2ND ST, GRIFFIN, GA 30223-1643
(470) 214-1070
(770) 467-9680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002519
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC002519
STATE OF GEORGIA
GA
Enumeration date
08/20/2013
Last updated
08/13/2014
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