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Individual

LANNIE JEWEL PRYOR BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
558 MEDLOCK RD STE 200, DECATUR, GA 30030-1512
(404) 217-2821
(770) 972-6101
Mailing address
1310 BLYTH WALK, SNELLVILLE, GA 30078-5923
(404) 217-2821
(770) 972-6101

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001843
GA

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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