Individual
BERNARD DUVIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 WINTER VIEW WAY, STOCKBRIDGE, GA 30281-7799
(678) 979-7516
Mailing address
521 WINTER VIEW WAY, STOCKBRIDGE, GA 30281-7799
(678) 979-7516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011979
GA
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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