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Organization

STEPHANIE WHITSON CLINICAL PSYCHOLOGIST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE M. WHITSON PH.D. (OWNER)
(478) 953-0088
Entity
Organization

Contact information

Practice address
104 BORDERS WAY, SUITE 700, WARNER ROBINS, GA 31088-8966
(478) 953-0088
Mailing address
104 BORDERS WAY, SUITE 700, WARNER ROBINS, GA 31088-8966
(478) 953-0088

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY002828
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887675424A
GA
Enumeration date
09/28/2009
Last updated
09/28/2009
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