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DR. PAUL O EGBE THERAPIST

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1235402926

Individual Registrant:
DR. PAUL O EGBE THERAPIST
Gender: M
Not Sole Proprietor

Location and contact information for practice:
226 S ANDERSON DR  SWAINSBORO, GA 30401-4707 US
Tel: 334-545-0582  Fax: --

Contact information for business:
PO BOX 1833  SWAINSBORO, GA 30401-1833 US
Tel: 334-545-0582  Fax: --

Registration Information:
NPI: 1235402926
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
AL3002
N101YP2500XBehavioral Health & Social Service Providers
Counselor
AL3002
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
GALPC006777

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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