Individual
CAROL GREENE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4446
(478) 751-4530
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4446
(478) 751-4530
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT1130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT1130
LMFT
GA
Enumeration date
09/24/2009
Last updated
05/17/2019
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