Individual
KELLY ELIZABETH CONLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
965 OAKLAND RD STE 3D, LAWRENCEVILLE, GA 30044-3758
(770) 495-9775
Mailing address
3130 MANOR BRIDGE DR, MILTON, GA 30004-8822
(404) 394-6698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC006632
GA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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