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Organization

LIFESKILLS FOR WOMEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNETTE SAMUEL (EXECUTIVE DIRECTOR)
(706) 863-9971
Entity
Organization

Contact information

Practice address
1816 WALKER ST, AUGUSTA, GA 30904-3659
(706) 267-9581
Mailing address
PO BOX 204048, AUGUSTA, GA 30917-4048

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LPC04525
GA

Other

Enumeration date
03/22/2013
Last updated
03/22/2013
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