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Organization

LIGHTHOUSE FAMILY SERVICE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WIDLINE DALAMBERT-DUCENA (EXECUTIVE DIRECTOR)
(404) 419-6404
Entity
Organization

Contact information

Practice address
150 STANLEY CT STE B, LAWRENCEVILLE, GA 30046-5215
(404) 419-6404
Mailing address
150 STANLEY CT STE B, LAWRENCEVILLE, GA 30046-5215

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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