Individual
DEBORAH S FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
777 BACK PENN RD, SUMMERVILLE, GA 30747-5961
(678) 899-7542
Mailing address
777 BACK PENN RD, SUMMERVILLE, GA 30747-5961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003526
GA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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