Organization
PATRIA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PARKS LCSW (SOLE MBR)
(803) 594-3748
Entity
Organization
Contact information
Practice address
3025 BULL ST STE 303, SAVANNAH, GA 31405-2049
(912) 484-4054
Mailing address
3025 BULL ST STE 303, SAVANNAH, GA 31405-2049
(912) 484-4054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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