Individual
ABBY MCGILVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 CANAL ST STE 506, POOLER, GA 31322-4049
(912) 421-1890
Mailing address
138 CANAL ST STE 506, POOLER, GA 31322-4049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
010707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010707
LICENSE
GA
Enumeration date
09/30/2019
Last updated
09/30/2019
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