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Individual

DIANA R MCMENEMY DEACON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COMS

Contact information

Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
2456 RIVERLOOK DR, AUGUSTA, GA 30904-3375
(706) 733-0188

Taxonomy

Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
1473
GA

Other

Enumeration date
03/23/2026
Last updated
03/23/2026
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