Individual
CLARA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 464-3009
Mailing address
116 PIERCE AVENUE, MACON, GA 31204
(478) 464-3009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008321
GA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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