HANNAH ELISSA FORDHAM

VIDALIA, GA
NPI1780250019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC012122)
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
HANNAH ELISSA FORDHAM LPC
106 E 2ND ST
VIDALIA, GA 30474-4709
Phone number: 912-585-5504
Mailing Address
HANNAH ELISSA FORDHAM LPC
PO BOX 765
VIDALIA, GA 30475-0765
Phone number: 912-585-5504
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