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Individual

MS. DIANNA M HUBAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
2404 REFUGE RD, JASPER, GA 30143-4946
(706) 692-7209
(706) 692-0144
Mailing address
10119 BIG CANOE, BIG CANOE, GA 30143-5117
(770) 365-5095
(706) 579-2013

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000857
GA

Other

Enumeration date
03/19/2009
Last updated
03/19/2009
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