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Individual

AL GREGORY DODDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
277 NORTH ST, CAMDEN, AR 71701-6266
(870) 390-6496
(870) 836-0264
Mailing address
225 COUNTRY CLUB DR, SUITE 140, STOCKBRIDGE, GA 30281-7300
(678) 565-0400
(678) 565-0444

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC005486
GA
101YP2500X
Professional Counselor
Primary
P0010029
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141479019
AR
Enumeration date
04/29/2009
Last updated
07/08/2011
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