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Organization

PARIS C SHIELDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PARIS C SHIELDS LCSW (OWNER)
(229) 241-7883
Entity
Organization

Contact information

Practice address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 241-7883
(229) 241-7479
Mailing address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 241-7883
(229) 241-7479

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005676
GA

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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