Individual
JENNIFER PAIGE FORSHAY-RODEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 INGLESIDE AVE, MACON, GA 31204-2028
(478) 227-0993
Mailing address
1266 WAVERLAND DR, MACON, GA 31211-1322
(850) 294-0047
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001922
GA
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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