Individual
JUSTIN MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVEUNE, COLUMBUS, GA 31904
(706) 596-5583
Mailing address
326 COMMERCE ST E, FORT GAINES, GA 39851-3331
(229) 768-3517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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