DIANE J GORES

POOLER, GA
NPI1790176576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: GA  LPC007991)
Enumeration Date2015-02-14
Last Update Date2019-05-23
Business Address
MS. DIANE J GORES LPC
127 LAKE HOUSE RD
POOLER, GA 31322-9710
Phone number: 912-713-4684
Mailing Address
MS. DIANE J GORES LPC
127 LAKE HOUSE RD
POOLER, GA 31322-9710
Phone number: 912-713-4684
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