Individual
CARYL LYNN GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1905 S HUTCHINSON AVE, ADEL, GA 31620-5246
(229) 896-4559
Mailing address
108 BROOKFIELD DR, VALDOSTA, GA 31602-6321
(229) 249-9426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004069
GA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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