Most Relevant Information
Provider Data
| NPI Number: | 1003816935 |
| Provider Name: | MARY FULP-PYE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 001211 |
Most Important Dates
| Enumeration Date: | 07/21/2005 |
| Last Updated: | 03/25/2010 |
Provider Practice Location
3541 N CROSSING CIR
VALDOSTA
GA
316021019
Practice Location Phone/Fax
| Phone: | 2292444200 |
| Fax: | 2292444995 |
Provider Mailing Location
PO BOX 3229
VALDOSTA
GA
316043229
Provider Mailing Phone/Fax
| Phone: | 2292444200 |
| Fax: | 2292444995 |