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HOLLIE DESSELLE PRYOR LPC

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

Registrant NPI Number: 1699820290

Individual Registrant:
 HOLLIE DESSELLE PRYOR LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
302 E OGEECHEE ST  SYLVANIA, GA 30467-2403 US
Tel: 912-564-7825  Fax: 912-564-5778

Contact information for business:
P O BOX 1259 223 N. ANDERSON DRIVE SWAINSBORO, GA 30401 US
Tel: --  Fax: --

Registration Information:
NPI: 1699820290
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC004257

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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