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Kelly Broyles, LMFT

Marriage & Family Therapist in Valdosta, GA. Individual provider (NPI-1).

NPI number1639611643
StatusActive
Last updated in NPPESNov 8, 2016

Details

NPI
1639611643
Entity type
Individual (NPI-1)
Name
Kelly Broyles
Credential
LMFT
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2016
Last updated
Nov 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFT001514GAYes

Practice location

2200 N Patterson St
Suite D
Valdosta, GA 31602-2597

Phone 229-244-1707

Mailing address

2200 N Patterson St
Suite D
Valdosta, GA 31602-2597

Phone 229-244-1707

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