Individual
STACI PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
427 E DENNIS AVE, NASHVILLE, GA 31639-2504
(229) 237-0655
Mailing address
532 HIGHWAY 37, ADEL, GA 31620-8508
(229) 561-4222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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