Individual
LAKITTA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
292 HAWKEN TRL, MCDONOUGH, GA 30253-1915
(678) 799-1164
Mailing address
292 HAWKEN TRL, MCDONOUGH, GA 30253-1915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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