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Individual
DANIEL UPSHAW
Active
Individual
DANIEL UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC009861
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001551
GA
Other
Enumeration date
08/14/2015
Last updated
04/05/2018
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