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Individual

JESSICA JADE STONE LAMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7092 NAILS FERRY RD, BAXLEY, GA 31513
(912) 367-1969
Mailing address
7092 NAILS FERRY RD, BAXLEY, GA 31513
(912) 367-1969

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010236
GA

Other

Enumeration date
05/29/2018
Last updated
05/29/2018
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