Individual
EMMA THOMAS-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW
Contact information
Practice address
118 ALBANY ST, MORVEN, GA 31638-2339
(229) 292-4361
Mailing address
118 ALBANY ST, MORVEN, GA 31638-2339
(229) 292-4361
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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