Individual
LORA CHRISTI DUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
612 KENWOOD DR, WAYCROSS, GA 31501-6904
(912) 288-8531
Mailing address
612 KENWOOD DR, WAYCROSS, GA 31501-6904
(912) 288-8531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14050
SC
1041C0700X
Clinical Social Worker
CSW007327
GA
Other
Enumeration date
11/05/2020
Last updated
02/09/2021
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