Individual
MRS. DEANNA RUTH DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005515
LICENSE
GA
Enumeration date
04/18/2007
Last updated
08/22/2011
Update your record
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