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Individual

JOALICE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
600 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1973
(912) 554-8500
(912) 280-1523
Mailing address
700 COASTAL VILLAGE DRIVE, BRUNSWICK, GA 31520-1974
(912) 554-8510
(912) 264-5965

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 002543
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC002543
STATE LICENSE
GA
Enumeration date
05/26/2006
Last updated
07/12/2011
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