Individual
DANIEL LYNN PEGRAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
400 JOHNNY MERCER BLVD STE G, SAVANNAH, GA 31410-2166
(912) 667-7716
(912) 898-7717
Mailing address
7400 ABERCORN ST, SUITE 705--PMB 229, SAVANNAH, GA 31406-2447
(912) 667-7716
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000974
GA
Other
Enumeration date
08/12/2008
Last updated
02/04/2010
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