Individual
DEIDRA HAMBRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 ROWLAND CIR, BYRON, GA 31008-5645
(478) 365-3799
Mailing address
425 ROWLAND CIRCLE, BYRON, GA 31008
(478) 365-3799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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