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Individual
ROSELANDE DOMOND
Active
Individual
ROSELANDE DOMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169295A
—
GA
Enumeration date
10/30/2014
Last updated
06/29/2020
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