Individual
KENT ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 HIGHWAY 136 E, DAWSONVILLE, GA 30534-3723
(706) 525-9132
Mailing address
2960 HIGHWAY 136 E, DAWSONVILLE, GA 30534-3723
(706) 525-9132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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