Individual
MS. NANCY JO MASSINGILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 464-3001
Mailing address
101 CRESTVIEW CHURCH RD, WARNER ROBINS, GA 31088-6422
(478) 335-6065
(478) 953-0214
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001221
GA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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