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Organization
SUMMIT TRAIL THERAPEUTIC SERVICES, LLC
Active
Organization
SUMMIT TRAIL THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY RADABAUGH LCSW (OWNER/THERAPIST)
(770) 289-5528
Entity
Organization
Contact information
Practice address
40 HIGHLAND CIR, BLUE RIDGE, GA 30513-3602
(706) 383-9989
Mailing address
210 EMERALD LN, MINERAL BLUFF, GA 30559-2927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/23/2023
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