Individual
MS. LACY MIDDLEBROOKS CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
1690 S MILLEDGE AVE, ATHENS, GA 30605-1453
(706) 369-7911
(706) 208-9509
Mailing address
455 N LUMPKIN ST, ATHENS, GA 30601-2744
(706) 369-7911
(706) 208-9509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000967
GA
106H00000X
Marriage & Family Therapist
Primary
000478
GA
Other
Enumeration date
05/15/2007
Last updated
10/07/2008
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