JAMES PENDERGRASS

MACON, GA
NPI1588072995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: GA  MFT001341)
Enumeration Date2014-07-29
Last Update Date2014-07-29
Business Address
-- JAMES PENDERGRASS LMFT
144 PIERCE AVE
MACON, GA 31204-2860
Phone number: 478-955-5468
Mailing Address
-- JAMES PENDERGRASS LMFT
144 PIERCE AVE
MACON, GA 31204-2860
Phone number: 478-955-5468
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