Individual
MARY CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
359 PEEVY ST, BUFORD, GA 30518-3227
(904) 214-6413
Mailing address
5747 STARBOARD CT, BUFORD, GA 30518-2020
(904) 214-6413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC008908
GA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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