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Individual

GENIE NALL FLEET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
300 OAK ST, SUITE 203, SAINT SIMONS ISLAND, GA 31522-4738
(912) 268-4750
(888) 837-0039
Mailing address
302 MAGNOLIA ST, SAINT SIMONS ISLAND, GA 31522-1346
(912) 268-4750
(888) 837-0039

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009362
GA

Other

Enumeration date
12/16/2016
Last updated
01/23/2019
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