Individual
SHEMIKA N ELVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W DYKES ST, COCHRAN, GA 31014-6925
(478) 230-7932
Mailing address
212 W DYKES ST, COCHRAN, GA 31014-6925
(478) 230-7932
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
25114064
GA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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