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SHONDA MILLER LAPC

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

Registrant NPI Number: 1700170107

Individual Registrant:
 SHONDA  MILLER LAPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
275 FIRST STREET EXT  SPRINGFIELD, GA 31329 US
Tel: 912-754-3030  Fax: --

Contact information for business:
3441 CYPRESS MILL RD SUITE 102 BRUNSWICK, GA 31520-2878 US
Tel: 912-264-0979  Fax: --

Registration Information:
NPI: 1700170107
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GAAPC002545

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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