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Individual

MARK R WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
2704 N OAK ST, BUILDING B-3, VALDOSTA, GA 31602-1744
(229) 257-0100
(229) 257-0050
Mailing address
2704 N OAK ST, BUILDING B-3, VALDOSTA, GA 31602-1744
(229) 257-0100
(229) 257-0050

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000807
GA

Other

Enumeration date
07/31/2006
Last updated
07/08/2007
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