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STEPHANIE ROYALS LPC

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

Registrant NPI Number: 1962972455

Individual Registrant:
 STEPHANIE  ROYALS 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: 478-289-2683

Contact information for business:
PO BOX 1259  SWAINSBORO, GA 30401-1259 US
Tel: 478-289-2683  Fax: 478-289-2798

Registration Information:
NPI: 1962972455
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GA010413

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000606383EGA05




HEALTH CARE JOBS GA - Page 1



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