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Individual

LAURA ANN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LPC

Contact information

Practice address
1009 N COLUMBIA AVE, RINCON, GA 31326-6828
(912) 657-9613
Mailing address
543 EARL LAIN RD, GUYTON, GA 31312-6272
(912) 250-9497

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-42847
MT
101YP2500X
Professional Counselor
LPC013013
GA

Other

Enumeration date
05/11/2020
Last updated
09/21/2023
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