Individual
MS. GLENDA LEIGH LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 752-1804
Mailing address
36 CAMELLIA CIR, JEFFERSONVILLE, GA 31044-3719
(478) 945-6681
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001049
GA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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