Individual
IMANI SARAN GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7450 GA HIGHWAY 21 UNIT 912, PORT WENTWORTH, GA 31407-1145
(912) 419-0333
Mailing address
7450 US HIGHWAY 21, PORT WENTWORTH, GA 31407-1145
(912) 419-0333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
102X00000X
Poetry Therapist
—
—
103K00000X
Behavior Analyst
—
—
302F00000X
Exclusive Provider Organization
—
—
374J00000X
Doula
Primary
—
GA
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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