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Organization

QUINNISE PETTWAY, LPC, NCC

Active
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Organization

QUINNISE PETTWAY, LPC, NCC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QUINNISE PETTWAY LPC, NCC (OWNER/PRESIDENT)
(770) 642-4236
Entity
Organization

Contact information

Practice address
490 SUN VALLEY DR, SUITE 205, ROSWELL, GA 30076-5615
(770) 642-4236
Mailing address
490 SUN VALLEY DR, SUITE 205, ROSWELL, GA 30076-5615
(770) 642-4236

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006121
GA

Other

Enumeration date
05/04/2011
Last updated
05/04/2011
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