Family Recovery of Southwest Georgia

NPI #1134691496 in Moultrie, Georgia

Provider Information

NPI Number
1134691496
Entity Type
Organization
Organization Name
Family Recovery of Southwest Georgia
Primary Specialty
Social Worker - Clinical
Enumeration Date
Dec 27, 2018
Last Updated
Aug 4, 2022

Practice Location

Address
719 1ST ST SE
State
Georgia
ZIP Code
31768-5509
Phone
(229) 456-2022

Authorized Official

Name
SAMUEL MARION, LCSW
Title
MANAGING DIRECTOR
Phone
(229) 456-2022

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Marriage & Family Therapist
Social Worker - ClinicalClinical

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