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Organization
THE MINDSPRING CENTER
Active
Organization
THE MINDSPRING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN RANICKI (OWNER)
(912) 748-6463
Entity
Organization
Contact information
Practice address
1147 US HIGHWAY 80 W, POOLER, GA 31322-2203
(912) 748-6463
(912) 748-1507
Mailing address
1147 US HIGHWAY 80 W, POOLER, GA 31322-2203
(912) 748-6463
(912) 748-1507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC005533
GA
101YP2500X
Professional Counselor
Primary
LPC006682
GA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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