GERA IRVINE

MACON, GA
NPI1346691540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC3186)
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
-- GERA IRVINE LPC
105 WILLIAM WAY
MACON, GA 31216-6160
Phone number: 478-327-7683
Mailing Address
-- GERA IRVINE LPC
105 WILLIAM WAY
MACON, GA 31216-6160
Phone number: 478-327-7683
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