Provider Information for 1770062218
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Ms. MARY MCKALEIGH COLE LPC
Sex: Female
NPI: 1770062218
Last Updated: 2023-11-21
Certification Date: 2023-11-21
Certification Date: 2023-11-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1770062218 | ||||||||
| Enumeration Date | 2018-08-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1223 GRAYSON, GA 30017-0024 United States Phone: 678-481-5804 | Fax:678-550-9322 | ||||||||
| Primary Practice Address | 1350 SCENIC HWY N STE 266 SNELLVILLE, GA 30078-7924 United States Phone: 678-481-5804 | Fax:678-550-9322 | ||||||||
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