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Individual
DEBRA ANN HARTLEY
Active
Individual
DEBRA ANN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383260794A
—
GA
01
—
833721000
MAGELLAN/WELLCARE PROVIDE
GA
Enumeration date
11/01/2006
Last updated
04/04/2013
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