GERALD JEROME LAWRENCE

MACON, GA
NPI1871244046
Other NameGERALD J LAWRENCE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-01-10
Last Update Date2024-05-20
Business Address
Mr. GERALD JEROME LAWRENCE CADC-II
890 NORTHWOODS PLZ
MACON, GA 31204
Phone number: 478-330-7164
Mailing Address
Mr. GERALD JEROME LAWRENCE CADC-II
890 NORTHWOODS PLZ, MACON, GA 31204
MACON, GA 31204-5361
Phone number: 478-330-7164