JAL PSYCHOLOGICAL SERVICES
Social Work at Vineville Ave, Macon, GA

License number
Georgia PSY002796
Category
Social Work
Type
Clinical
Owner
Name: DR. JOAN ALLISON LANUM PSY.D.
Title: PSYCHOLOGIST
Phone: (478) 474-4073
Address
Address
3626 Vineville Ave, Macon, GA 31204
National Provider ID: 1902969363
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JAL PSYCHOLOGICAL SERVICES at bizstanding.com

JAL PSYCHOLOGICAL SERVICES, LLC

3626 Vineville Ave, Macon, GA 31204

Status:
Inactive
Registration:
Apr 7, 2006
Inactive since:
Aug 26, 2011
State ID:
0630399
Business type:
Domestic Limited Liability Company
Agent:
Joan Allison Lanum,3626 Vineville Ave, Macon, GA 31204 (Physical)

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