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Organization

LOWNDES ADVOCACY RESOURCE CENTER, INC

Active
Other names
LARC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARRY A HAMM PHD (EXECUTIVE DIRECTOR)
(229) 244-8290
Entity
Organization

Contact information

Practice address
1646 E PARK AVE, VALDOSTA, GA 31602-3413
(229) 244-8290
(229) 244-3458
Mailing address
1646 E PARK AVE, VALDOSTA, GA 31602-3413
(229) 244-8290
(229) 244-3458

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0003946955
GA
Enumeration date
02/09/2007
Last updated
08/22/2020
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