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1174971055
WILLOWSWAY, LLC
MACON, GA
NPI
1174971055
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Entity Type
Organization
Authorized Contact
GERA LYNN IRVINE
Therapist
478-361-2875
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
(Licence: GA LPC3186)
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
WILLOWSWAY, LLC
105 WILLIAM WAY
MACON, GA 31216-6160
Phone number: 478-361-2874
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Mailing Address
WILLOWSWAY, LLC
102 PARK DR
WARNER ROBINS, GA 31088-5167
Phone number: 478-327-7683
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