Individual
MS. TAMMI KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
725 SHADOW LAKE DR, LITHONIA, GA 30058-6298
(770) 841-5700
Mailing address
725 SHADOW LAKE DR, LITHONIA, GA 30058-6298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006105
GA
Other
Enumeration date
05/19/2009
Last updated
02/23/2011
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