Individual
JOSHUA PHILLIP LYDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-6988
(229) 931-2474
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-6988
(229) 931-2474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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