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Organization
GEORGIA INTERVENTION PROGRAMS AND SERVICES
Active
Organization
GEORGIA INTERVENTION PROGRAMS AND SERVICES
Active
Other names
GIPS
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN SLACKS B.A. (CEO AND FOUNDER)
(229) 424-7000
Entity
Organization
Contact information
Practice address
201 E OHOOPEE ST, FITZGERALD, GA 31750-1727
(229) 424-7000
(229) 424-7074
Mailing address
PO BOX 73, FITZGERALD, GA 31750-0073
(229) 424-7000
(229) 424-7074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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