Individual
MARY JO SPITZNAGEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
10 WILSON RD, STOCKBRIDGE, GA 30281-4468
(770) 506-9575
Mailing address
574 THE BLVD, NEWNAN, GA 30263-6284
(407) 716-6988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005014
GA
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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