Individual
LE'KELDRIC THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
(678) 405-9363
Mailing address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2010
Last updated
01/18/2023
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