Organization
CENTER FOR PERSONAL AND FAMILY GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MARTIN TREXLER LCSW (OWNER/PROVIDER)
(229) 588-1034
Entity
Organization
Contact information
Practice address
2704 N OAK ST BLDG L, VALDOSTA, GA 31602-1790
(229) 671-1461
(229) 671-1471
Mailing address
2704 N OAK ST BLDG L, VALDOSTA, GA 31602-1790
(229) 671-1461
(229) 671-1471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1308
GA
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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