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Individual

MRS. BRIDGET HOLYFIELD MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
544 MULBERRY ST STE 107, MACON, GA 31201-8249
(478) 284-9634
(478) 988-8796
Mailing address
544 MULBERRY ST STE 107, MACON, GA 31201-8249
(478) 284-9634
(478) 988-8796

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004546
GA

Other

Enumeration date
05/24/2012
Last updated
05/24/2012
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