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Individual

LALAH MANLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
1986 HOSEA L WILLIAMS DR NE STE C, ATLANTA, GA 30317-2225
(470) 781-4589
Mailing address
PO BOX 807, PINE LAKE, GA 30072-0807
(404) 683-0597

Taxonomy

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

Other

Enumeration date
05/28/2021
Last updated
05/28/2021
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