Individual
MRS. GWENDOLYN RENEE LADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
13 GIMBAL CIR, PORT WENTWORTH, GA 31407-8522
(912) 227-4973
Mailing address
13 GIMBAL CIR, PORT WENTWORTH, GA 31407-8522
(912) 227-4973
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC002441
GA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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