Individual
TABATHA MUNGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9021 VETERANS PKWY, MIDLAND, GA 31820-3411
(706) 596-5575
Mailing address
9021 VETERANS PKWY, MIDLAND, GA 31820-3411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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