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Individual

MR. DAVID L STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
102 COLLINS CT, MACON, GA 31216-5462
(478) 714-7052
Mailing address
102 COLLINS CT, MACON, GA 31216-5462
(478) 714-7052

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
010159
GA
101YP2500X
Professional Counselor
Primary
GA

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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