Individual
ATHENA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8474 GARRYOWEN ST, FORT BENNING, GA 31905-7030
(706) 596-5519
Mailing address
8474 GARRYOWEN ST, FORT BENNING, GA 31905-7030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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