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Organization
SLT COUNSELING SERVICES LLC
Active
Organization
SLT COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA THOMASTON (OWNER)
(706) 881-0837
Entity
Organization
Contact information
Practice address
301 W BROOME ST, LAGRANGE, GA 30240-3166
(706) 881-0837
Mailing address
301 W BROOME ST, LAGRANGE, GA 30240-3166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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