Individual
MR. DAVID G ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7505 WATERS AVE, SUITE E2, SAVANNAH, GA 31406-3821
(912) 356-2328
Mailing address
4111 AMSTERDAM CIRCLE, SAVANNAH, GA 31405-3333
(912) 355-8215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004044
GA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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