Individual
DJENABA CASHENIQUE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 BANKSTON AVE, MACON, GA 31204-5120
(478) 714-9559
Mailing address
1409 BANKSTON AVE, MACON, GA 31204-5120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/28/2021
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