PORSCHE PROWELL

COLUMBUS, GA
NPI1871919878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  104100000X)
Enumeration Date2014-03-14
Last Update Date2014-03-14
Business Address
-- PORSCHE PROWELL BS
2100 COMER AVE
COLUMBUS, GA 31906-4328
Phone number: 706-596-5575
Mailing Address
-- PORSCHE PROWELL BS
P.O. BOX 5328
COLUMBUS, GA 31906-4328
Phone number: 706-596-5575