Individual
JERRY EDWARD GALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
598 S MILLEDGE AVE, SUITE 5, ATHENS, GA 30605-1262
(706) 353-0709
(706) 549-3167
Mailing address
598 S MILLEDGE AVE, SUITE 5, ATHENS, GA 30605-1262
(706) 353-0709
(706) 549-3167
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000625
GA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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