Individual
GLORIA EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2709 LATLEY BRIDGE RD, ELKO, GA 31025-2326
(478) 286-0424
Mailing address
2709 LATLEY BRIDGE RD, ELKO, GA 31025-2326
(478) 286-0424
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007841
GA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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