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Individual

MRS. DORLENE ELLEN DOWL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M ED, LPC, NCC

Contact information

Practice address
785 KING GEORGE BLVD, STE A, SAVANNAH, GA 31419
(314) 717-5273
(912) 303-8703
Mailing address
785 KING GEORGE BLVD, STE A, SAVANNAH, GA 31419
(314) 717-5273
(912) 303-8703

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2009032852
MO
101YM0800X
Mental Health Counselor
Primary
LPC009625
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386966018
MO
01
LPC009625
GEORGIA LICENSED PROFESSIONAL COUNSELOR
GA
Enumeration date
02/22/2010
Last updated
03/17/2018
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