Individual
ROBIN DENISE MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 ENTERPRISE DR STE B, VALDOSTA, GA 31601-5697
(229) 293-0132
Mailing address
348 ENTERPRISE DR STE B, VALDOSTA, GA 31601-5697
(229) 293-0132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008436
GA
1041C0700X
Clinical Social Worker
CSW008093
GA
Other
Enumeration date
07/30/2019
Last updated
05/29/2026
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