CONNIE RUTH DOMINY

MACON, GA
NPI1255538161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: GA  002333)
Enumeration Date2007-07-03
Last Update Date2007-07-08
Business Address
MS. CONNIE RUTH DOMINY LPC
745 RIVERSIDE DRIVE LN
MACON, GA 31201-2658
Phone number: 478-742-8785
Mailing Address
MS. CONNIE RUTH DOMINY LPC
745 RIVERSIDE DRIVE LN
MACON, GA 31201-2658
Phone number: 478-742-8785
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