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Individual

SHAKAYLA WARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
337 S WALNUT ST, STATESBORO, GA 30458-5418
(912) 452-2352
(912) 225-3454
Mailing address
337 S WALNUT ST, STATESBORO, GA 30458-5418
(912) 452-2352
(912) 225-3454

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC009193
GA
101YM0800X
Mental Health Counselor
Primary
251S00000X
Community/Behavioral Health Agency
LPC009193
GA

Other

Enumeration date
01/09/2017
Last updated
07/08/2020
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