Individual
BRANDELYN BAGGETT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
617 WARD ST E, DOUGLAS, GA 31533-0301
(912) 384-4357
(912) 384-4356
Mailing address
617 WARD ST E, PO BOX 2009, DOUGLAS, GA 31533-0301
(912) 384-4357
(912) 384-4356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007508
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003155672A
—
GA
Enumeration date
02/18/2015
Last updated
02/18/2015
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