Individual
CHARLENE WATKINS PHILYAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MAGNOLIA AVE SE, MILLEDGEVILLE, GA 31061-4365
(147) 845-6694
Mailing address
150 MAGNOLIA AVE SE, MILLEDGEVILLE, GA 31061-4365
(147) 845-6694
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007716
GA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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