Individual
HANNAH ANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 HIGHWAY 42 N, MCDONOUGH, GA 30253-4721
(678) 824-6590
Mailing address
1561 HIGHWAY 42 N, MCDONOUGH, GA 30253-4721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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