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Individual

GEORGIA LEA SOLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC-I

Contact information

Practice address
1301 SW 15TH AVE, AMARILLO, TX 79102-2674
(806) 476-8314
Mailing address
1301 SW 15TH AVE, AMARILLO, TX 79102-2674
(806) 476-8314

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
69153
TX

Other

Enumeration date
03/27/2025
Last updated
03/27/2025
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