Provider Information for 1588208383
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HALEY RIGDON LMSW
Sex: Female
NPI: 1588208383
Last Updated: 2019-11-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1588208383 | ||||||||
| Enumeration Date | 2019-11-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2204 FELLOWSHIP CT TUCKER, GA 30084-4603 United States Phone: 678-793-7102 | Fax: | ||||||||
| Primary Practice Address | 120 E TRINITY PL DECATUR, GA 30030-3302 United States Phone: 404-378-2300 | Fax:404-378-2394 | ||||||||
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