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1780315218
DANIELLE LIDKE-PROW
BRUNSWICK, GA
NPI
1780315218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC012120)
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
DANIELLE LIDKE-PROW LPC
513 GLOUCESTER ST
BRUNSWICK, GA 31520-7014
Phone number: 912-289-2497
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Mailing Address
DANIELLE LIDKE-PROW LPC
1117 KINGS CROSS
BRUNSWICK, GA 31525-6822
Phone number: 303-515-0125
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