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Individual

STACEY ANNE WRIGHTSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC-MHSP

Contact information

Practice address
4722 COKER DR, FLOWERY BRANCH, GA 30542-3401
(615) 635-3980
Mailing address
4722 COKER DR, FLOWERY BRANCH, GA 30542-3401
(615) 635-3980

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
10/28/2019
Last updated
07/09/2025
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