Individual
MAUREEN W DODGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 KIRKLAND RD, COVINGTON, GA 30016-3317
(770) 784-3188
(770) 784-3187
Mailing address
2460 STEDMAN LN SW, CONYERS, GA 30094-4767
(770) 761-0514
(770) 784-3187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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