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Individual

MS. DELTA JOYCE OUTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASTERS

Contact information

Practice address
7000 STORAGE CT, SUITE 10, COLUMBUS, GA 31907-0700
(706) 593-8031
(706) 561-3578
Mailing address
6001 BUENA VISTA RD, COLUMBUS, GA 31907-5206
(706) 442-3963
(706) 561-3578

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
005750
GA

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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