MICHAEL ANDERSON

COVINGTON, GA
NPI1518397272
Entity TypeOrganization
Authorized ContactMICHAEL ANDERSON
Therapist
678-532-0398
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: GA  LPC007246)
Enumeration Date2013-11-16
Last Update Date2013-11-16
Business Address
MICHAEL ANDERSON
4169 WASHINGTON ST SW
COVINGTON, GA 30014-2783
Phone number: 678-532-0398
Mailing Address
MICHAEL ANDERSON
4169 WASHINGTON ST SW
COVINGTON, GA 30014-2783
Phone number: