JOHN STEPHEN AUTRY

BLACKSHEAR, GA
NPI1619002003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: GA  MFT000386)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- JOHN STEPHEN AUTRY
901 COLLEGE AVE
BLACKSHEAR, GA 31516
Phone number: 912-449-2714
Mailing Address
-- JOHN STEPHEN AUTRY
901 COLLEGE AVENUE
BLACKSHEAR, GA 31516
Phone number: 912-449-2714