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Organization
DAUGHTERS OF THE KING MINISTRIES INC.
Active
Organization
DAUGHTERS OF THE KING MINISTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA FULMORE FAVORS (PRESIDENT)
(229) 347-2480
Entity
Organization
Contact information
Practice address
311 S LEE ST, APT C, AMERICUS, GA 31709-3971
(229) 347-2480
Mailing address
323 HOSANNA CIR, AMERICUS, GA 31719-8277
(229) 347-2480
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
13471797
GA
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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