Wylie, Laurie

Wylie, Laurie is an sole proprietor health care provider with primary practice located at 107 Twin Oaks Ct , Fortson GA 31808-4479. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wylie, Laurie can be contacted via phone (706) 575-0924.

Contact Information

Primary practice address
107 Twin Oaks Ct Fortson GA 31808-4479
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Georgia

Profile Details

NPI number 1104356443
LBN Legal business name Wylie, Laurie
Credentials ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2017
Last updated Jun 19th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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