Provider Information for 1821722885
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MACEY EHMAN LPC
Sex: Female
NPI: 1821722885
Last Updated: 2022-07-14
Certification Date: 2022-07-14
Certification Date: 2022-07-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821722885 | ||||||||
| Enumeration Date | 2022-07-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1590 OLD FEDERAL RD OCOEE, TN 37361-3210 United States Phone: 478-231-3941 | Fax: | ||||||||
| Primary Practice Address | 1590 OLD FEDERAL RD OCOEE, TN 37361-3210 United States Phone: 478-231-3941 | Fax: | ||||||||
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