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Organization

INSTITUTE FOR FAMILY SYSTEMS SUPPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD E SANDERS JR. LMSW (DIRECTOR)
(229) 559-8597
Entity
Organization

Contact information

Practice address
308 WEST COLLINS AVE, LAKE PARK, GA 31636
(229) 559-8597
(229) 559-7760
Mailing address
308 WEST COLLINS AVE, LAKE PARK, GA 31636
(229) 559-8597
(229) 559-7760

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW000179
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2607
OCCUPATIONAL REGISTRATION
GA
Enumeration date
05/03/2007
Last updated
08/22/2020
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