KANEISHA MACK

LAGRANGE, GA
NPI1952862286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
KANEISHA MACK CPS-WH
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240-5754
Phone number: 706-845-4054
Mailing Address
KANEISHA MACK CPS-WH
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240-5754
Phone number:
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