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Mrs. Mckenzie Nicole Herndon, BSW
Contractor in Valdosta, Georgia
NPI 1063906741

Mckenzie Nicole Herndon is a Contractor based in Valdosta, GA. Mckenzie Nicole Herndon practices in Valdosta, GA and has the professional credentials of BSW. The NPI Number for Mckenzie Nicole Herndon is 1063906741 and holds a License No. (Georgia).

The current practice location address for Mckenzie Nicole Herndon is 4141 Old Ivy Trce, Valdosta, GA and can be reached out via phone at 229-561-3920.

Location: 4141 Old Ivy Trce, Valdosta, GA, 31605-5718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063906741
Provider Name
Mckenzie Nicole Herndon
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
4141 Old Ivy Trce, Valdosta, GA, 31605-5718
Phone Number
229-561-3920
Fax Number
Provider Enumeration Date
06/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4141 Old Ivy Trce
City
Valdosta
State
Georgia
Zip
31605-5718
Phone Number
229-561-3920
Fax Number
person
Provider Business Mailing Address Details
Address
4141 Old Ivy Trce
City
Valdosta
State
Georgia
Zip
31605-5718
Phone Number
229-561-3920
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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