MS. Dorothy Fair Mande, S/T MSPSE

NPI #1417424748 in Cuthbert, Georgia

Provider Information

NPI Number: 1417424748
Entity Type: Individual
Name: MS. Dorothy Fair Mande, S/T MSPSE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: S/T MSPSE
Enumeration Date: Oct 24, 2018
Last Updated: Oct 24, 2018

Practice Location

Address: 95 ATKINSON ST
City: Cuthbert
State: Georgia
ZIP Code: 39840-5424
Phone: (229) 310-0172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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