Individual
DEBBIE DIBAUDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
202 VILLAGE DR, LAGRANGE, GA 30240-8831
(706) 884-6403
(706) 884-6403
Mailing address
202 VILLAGE DR, LAGRANGE, GA 30240-8831
(706) 884-6403
(706) 884-6403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/24/2005
Last updated
07/08/2007
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