Individual
CANDACE S BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3043 SHERBOURNE DR, LITHONIA, GA 30058-3544
(678) 779-2993
Mailing address
3043 SHERBOURNE DR, LITHONIA, GA 30058-3544
(678) 779-2993
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001823
GA
Other
Enumeration date
01/14/2021
Last updated
06/28/2022
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