Individual
SHIRLEY WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HUBBARD DR, GORDON, GA 31031-2117
(478) 456-6348
Mailing address
101 HUBBARD DR, GORDON, GA 31031-2117
(478) 456-6348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008621
GA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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