Individual
GAYE BROWN ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
144 PIERCE AVE, CROSSROADS COUNSELING CENTER, MACON, GA 31204-2860
(478) 475-4608
(478) 476-8397
Mailing address
101 LAKE RIDGE DR, MACON, GA 31220-5419
(478) 477-7982
(478) 464-1356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000609
GA
Other
Enumeration date
11/14/2006
Last updated
12/19/2011
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