Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 224898 | GA |
NPI | 1235474784 |
---|---|
Provider Name | Mrs. Betty Jean Mckey |
First Address | Wray, GA 31798-3720 |
Second Address | Wray, GA 31798-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2012 |
Last Update Date | 10/12/2012 |