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Organization

4FUN, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VICKI NELSON BELCHER LPC (PRESIDENT)
(912) 764-6906
Entity
Organization

Contact information

Practice address
23439 GA HIGHWAY 46, PEMBROKE, GA 31321-8515
(912) 823-3183
Mailing address
23439 GA HIGHWAY 46, PEMBROKE, GA 31321-8515
(912) 823-3183

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC003736
GA

Other

Enumeration date
05/03/2007
Last updated
09/18/2007
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