| NPI | 1538279641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIE C. MAGUIRE Ms, Lpc/Partner 706-722-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA LPC 1325) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-11-19 |