Individual
KYLA MICHELLE MACCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1645 HUNTER RD, CATAULA, GA 31804-2405
(706) 596-5129
Mailing address
1645 HUNTER RD, CATAULA, GA 31804-2405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011110
GA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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