Individual
DEBORAH FAYE PARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-1007
(229) 671-6104
Mailing address
3825 WINCHESTER PL, VALDOSTA, GA 31602-0861
(229) 242-2390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW002992
LICENSED CLINICAL SOCIAL
GA
Enumeration date
07/28/2006
Last updated
07/08/2007
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