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Individual

MISS ANICKLETTE O CRUMBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2289 OLD THOMASVILLE RD, PELHAM, GA 31779-5832
(678) 499-5669
Mailing address
4002 HIGHWAY 78 W STE 530-112, SNELLVILLE, GA 30039-7915
(678) 499-5669

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006240
GA

Other

Enumeration date
04/06/2011
Last updated
06/12/2025
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