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Individual
SIR ALLEN PEGUES
Active
Individual
SIR ALLEN PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC008654
GA
101YM0800X
Mental Health Counselor
LPC008654
GA
101YP2500X
Professional Counselor
Primary
LPC008654
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003191850A
—
GA
Enumeration date
08/30/2017
Last updated
09/13/2017
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