Individual
MCKINSEY GRACE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 JEFFERSON AVE, BOGART, GA 30622-1528
(678) 863-2112
Mailing address
390 JEFFERSON AVE, BOGART, GA 30622-1528
(678) 863-2112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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