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Individual

ZACHARY TYLER MCGEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
(606) 598-1688
Mailing address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
(606) 598-1688

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
255335
KY

Other

Enumeration date
08/16/2017
Last updated
12/09/2020
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