Individual
GWENDOLYN T EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 MERCER DR STE B, DUBLIN, GA 31021-4257
(478) 274-3012
(478) 274-7948
Mailing address
2121 BELLEVUE RD STE B, DUBLIN, GA 31021-2952
(478) 274-3012
(478) 274-7948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004269
GA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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