Organization
DAUGHTERS OF THE KING MINISTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA FULMORE FAVORS (PRESIDENT)
(229) 347-2480
Entity
Organization
Contact information
Practice address
311 S LEE ST, APT C, AMERICUS, GA 31709-3971
(229) 347-2480
Mailing address
323 HOSANNA CIR, AMERICUS, GA 31719-8277
(229) 347-2480
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
13471797
GA
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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