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Organization

GROUNDING FLIGHT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BALDWIN LPC, PHD (OWNER/DIRECTOR)
(678) 631-7630
Entity
Organization

Contact information

Practice address
136 PIONEER DR, WOODSTOCK, GA 30188-4522
(678) 631-7630
Mailing address
136 PIONEER DR, WOODSTOCK, GA 30188-4522
(678) 631-7630

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008427
IL

Other

Enumeration date
08/11/2014
Last updated
06/13/2019
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