Individual
MRS. LYNETTA DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 TANNER DR, EASTMON, GA 31023
(478) 285-0001
Mailing address
17 TANNER DR, EASTMON, GA 31023
(478) 285-0001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006087
GA
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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