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Individual

GERALDINE H WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7809
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7809

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
010592
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010592
LPC
GA
Enumeration date
04/03/2019
Last updated
11/16/2021
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