Individual
PEGGY PATRICIA HARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. MFT
Contact information
Practice address
410 W COLLEGE ST, VALDOSTA, GA 31602-2423
(229) 630-2521
Mailing address
410 W COLLEGE ST, VALDOSTA, GA 31602-2423
(229) 630-2521
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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