Individual
MARCELL A. AUSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 988-1222
Mailing address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 988-1222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005754
GA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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