Individual
MRS. BENEDICTA N EJINDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
5125 WELLS DR, EVANS, GA 30809-7057
(912) 541-2801
Mailing address
5125 WELLS DR, EVANS, GA 30809-7057
(912) 541-2801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC008443
GA LICENSE
GA
Enumeration date
09/01/2015
Last updated
09/01/2015
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