Individual
MRS. LAURENCIA ALANIQUE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5774 VININGS RETREAT WAY SW, MABLETON, GA 30126-2566
(404) 889-5222
Mailing address
5774 VININGS RETREAT WAY SW, MABLETON, GA 30126-2566
(404) 889-5222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8874
TN
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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