Individual
DEWAYNE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602-5910
(229) 671-6112
Mailing address
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602-5910
(229) 671-6112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009078
GA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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