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Joel Bagby Valid NPI

Individual provider · Professional Counselor · Dallas, GA

NPI
1609406966
Type
Individual (Type 1)
Primary specialty
Professional Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YP2500X
License number
001431 (GA)
Sex
Male
Sole proprietor
Yes
Enumerated
2020-01-24
Last updated
2020-01-24
Practice location
304 W I Pkwy Ste 102
Dallas, GA 30132-5078
(770) 445-8079

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