Individual
LADY LOVE BATES MERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3570 CHARLIE SMITH SR HWY, SAINT MARYS, GA 31558-3500
(912) 673-6995
Mailing address
1010 BAYSWATER RD, BRUNSWICK, GA 31525-6838
(912) 602-1998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001604
GA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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