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Organization
TRANQUIL WAVES THERAPY, LLC
Active
Organization
TRANQUIL WAVES THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA RENEE TAYLOR LCSW (CLINICAL SOCIAL WORKER)
(229) 396-5507
Entity
Organization
Contact information
Practice address
601 VIRGINIA AVE, SUITE 1, TIFTON, GA 31794
(229) 396-5507
(229) 396-5093
Mailing address
16245 VALDOSTA HWY, VALDOSTA, GA 31602-6066
(229) 740-5339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
02/07/2022
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