Individual
PEGGY YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 VETERANS PKWY S, MOULTRIE, GA 31788-6705
(229) 985-4815
(229) 890-6777
Mailing address
25 PINE VALLEY CIR, MOULTRIE, GA 31768-5853
(229) 985-4815
(229) 890-6777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003098
GA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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