Individual
BETHANY E DOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2704 N OAK ST, BUILDING B-3, VALDOSTA, GA 31602-1744
(229) 257-0100
Mailing address
4122 SEDGWYCK LN, VALDOSTA, GA 31605-7083
(229) 251-1098
(229) 245-9791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004348
GA
Other
Enumeration date
12/10/2010
Last updated
02/18/2011
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