Organization
TWI COUNSELING
Active
Other names
Tony Wardlaw Incorporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THADEUS MANDRALL HOLLOWAY M.ED, M.S. (VICE PRESIDENT)
(912) 423-9179
Entity
Organization
Contact information
Practice address
506 DONOVAN STREET, VIDALIA, GA 30474-0178
(912) 537-9280
(912) 537-9440
Mailing address
P.O. BOX 178, VIDALIA, GA 30474-0178
(912) 537-9280
(912) 537-9440
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LPC004269
GA
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/09/2007
Last updated
11/12/2008
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