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Individual
STEPHEN W SORRELLS
Active
Individual
STEPHEN W SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC004200
LICENSE NUMBER
GA
Enumeration date
08/26/2013
Last updated
08/26/2013
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