Individual
RONDA SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 LONG RIDGE DR, MACON, GA 31211-1611
(478) 974-7002
Mailing address
4658 PRESIDENTIAL PKWY # 1264, MACON, GA 31206-8708
(478) 951-8776
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001503
GA
Other
Enumeration date
11/08/2016
Last updated
11/26/2024
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