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Individual

CARLA MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1875 FANT DRIVE, LOOKOUT MOUNTAIN COMMUNITY SERVICES, FT. OGLETHORPE, GA 30742
(706) 861-3387
(706) 806-1186
Mailing address
117 PINEHURST AVE, RED BANK, TN 37415-2746
(404) 455-2824

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007677
GA

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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