Diane J Gores's National Provider Identifier (NPI) Details
Diane J Gores, LPC
NPI: 1790176576
Enumeration Date: 2015-02-14
Last updated: 2019-05-23
Sole Proprietor: NO
Status: active
Postal Address: 127 LAKE HOUSE RD, POOLER, GA
Phone: 912-713-4684
Primary Practice Address: 127 LAKE HOUSE RD, POOLER, GA
Practice's phone: 912-713-4684