Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003135542 |
---|---|
Provider Name | Ms. E Delores Hughes |
First Address | Savannah, GA 31402-0333 |
Second Address | Savannah, GA 31409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 19/08/2010 |