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Organization

COVENANT COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANE CERJAN PSYD (SECRETARY/TREASURER)
(229) 890-2288
Entity
Organization

Contact information

Practice address
600 2ND ST SE, MOULTRIE, GA 31768-5514
(229) 890-2288
(229) 890-2289
Mailing address
600 2ND ST SE, MOULTRIE, GA 31768-5514
(229) 890-2288
(229) 890-2289

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004628
GA

Other

Enumeration date
02/04/2009
Last updated
02/04/2009
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