Individual
MRS. LESLIE RANEY PEGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 E SAGEBRUSH LN, SAVANNAH, GA 31419-9335
(912) 660-1312
Mailing address
111 E SAGEBRUSH LN, SAVANNAH, GA 31419-9335
(912) 660-1312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC005277
GA
Other
Enumeration date
07/07/2011
Last updated
01/28/2013
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