Individual
YVETTE WRIGHT ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 COURTS OF HAMPTON, HAMPTON, GA 30228-2099
(678) 334-4323
Mailing address
112 COURTS OF HAMPTON, HAMPTON, GA 30228-2099
(678) 334-4323
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
21232
GA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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