Individual
DR. TWANDA E LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1810 MULKEY RD, SUITE 201, AUSTELL, GA 30106-1151
(770) 634-2349
(770) 819-1439
Mailing address
1810 MULKEY RD, SUITE 201, AUSTELL, GA 30106-1151
(770) 634-2349
(770) 819-1439
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
TS-T000852
GA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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