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Individual

DEBRA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
76 HUNT MARTIN ST STE A, BLAIRSVILLE, GA 30512-3694
(706) 745-5911
Mailing address
PO BOX 729, JEFFERSON, GA 30549-7729
(706) 362-7180

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC009245
GA

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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