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Individual

DR. SHANNON KAY SALTER FUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
FOREST DR, COUNSELING AND CAREER DEVELOPMENT CENTER, STATESBORO, GA 30460-0001
(912) 478-5541
Mailing address
317 FLORENCE AVE, STATESBORO, GA 30458-5138
(912) 225-0258

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3339
GA

Other

Enumeration date
01/11/2010
Last updated
01/11/2010
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