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Organization
BLAKELY HARPER LCSW PC
Active
Organization
BLAKELY HARPER LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKELY HARPER LCSW (OWNER, THERAPIST)
(229) 333-0300
Entity
Organization
Contact information
Practice address
3350 NOBLE WAY STE B, VALDOSTA, GA 31605-7444
(229) 333-0300
(229) 333-0306
Mailing address
12 SWEET GUM TRL, TIFTON, GA 31793-8498
(229) 333-0300
(229) 333-0306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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