Individual
MRS. GLENDORA DVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
141 BRIDGEMILL DR, HAMPTON, GA 30228-5536
(782) 125-1466
(788) 313-5546
Mailing address
922 HIGHWAY 81 E STE 348, MCDONOUGH, GA 30252-2978
(678) 212-5146
(678) 831-3554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006210
GA
Other
Enumeration date
06/08/2010
Last updated
01/31/2024
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