Individual
DALORA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7727
(404) 870-7809
Mailing address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7727
(404) 870-7809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007552
GA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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