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Individual

DENISE REGISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2121 BELLEVUE RD, DUBLIN, GA 31021-2952
(478) 272-1190
Mailing address
5225 PARK ST, EASTMAN, GA 31023-6038

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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