Individual
MRS. ROSEMARY ALIDA HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
228 REDFERN VILLAGE SUITE 205, ST SIMON ISLAND, GA 31522-7741
(912) 638-6899
(912) 635-2036
Mailing address
3 GOULD LANE, JEKYLL ISLAND, GA 31527-0634
(912) 638-6899
(912) 635-2036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
H001646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52503037002
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/19/2007
Last updated
07/08/2007
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