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Tarneshia S Maddox
Pastoral Counselor in Sparta, Georgia
NPI 1679138267

Tarneshia S Maddox is a Pastoral Counselor based in Sparta, GA and is specialized in Pastoral. Tarneshia S Maddox practices in Sparta, GA. The NPI Number for Tarneshia S Maddox is 1679138267 and holds a License No. (Georgia).

The current practice location address for Tarneshia S Maddox is 1482 Underwood Rd, Sparta, GA and can be reached out via phone at 478-234-9283.

Location: 1482 Underwood Rd, Sparta, GA, 31087-9612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679138267
Provider Name
Tarneshia S Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
1482 Underwood Rd, Sparta, GA, 31087-9612
Phone Number
478-234-9283
Fax Number
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05 05 GA
institution
Provider Business Practice Location Address Details
Address
1482 Underwood Rd
City
Sparta
State
Georgia
Zip
31087-9612
Phone Number
478-234-9283
Fax Number
person
Provider Business Mailing Address Details
Address
1482 Underwood Rd
City
Sparta
State
Georgia
Zip
31087-9612
Phone Number
478-234-9283
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
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