Individual
MR. MICHAEL STANLEY CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 546-6633
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 546-6633
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW004215
GA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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