Organization
INGLESIDE COUNSELING RESOURCES
Active
Organization
INGLESIDE COUNSELING RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION M LOCKWOOD PH.D (OWNER)
(478) 755-0060
Entity
Organization
Contact information
Practice address
277 PIERCE AVE, MACON, GA 31204-2419
(478) 755-0060
(478) 743-3508
Mailing address
277 PIERCE AVE, MACON, GA 31204-2419
(478) 755-0060
(478) 743-3508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1976
GA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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