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Individual

MRS. DEBORAH WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
310 DURDEN ST, VIDALIA, GA 30474-4606
(478) 494-2314
(912) 538-8186
Mailing address
PO BOX 2721, VIDALIA, GA 30475-2721
(478) 494-2314
(912) 538-8186

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003419
GA

Other

Enumeration date
04/20/2010
Last updated
04/20/2010
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