Individual
REGINA WRIGHT-MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CAMELOT DR, DUBLIN, GA 31021-6401
(478) 998-2911
Mailing address
105 CAMELOT DR, DUBLIN, GA 31021-6401
(478) 998-2911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
007284
GA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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