Individual
JENNA M MCCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS
Contact information
Practice address
21 APPALACHEE CHURCH RD, AUBURN, GA 30011-3620
(678) 863-2237
Mailing address
120 E TRINITY PL, DECATUR, GA 30030-3302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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