Individual
MARTHA ANNE TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2409 HIAWASSEE RD, AUGUSTA, GA 30904-3407
(706) 833-2435
Mailing address
2409 HIAWASSEE RD, AUGUSTA, GA 30904-3407
(706) 833-2435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014401
GA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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