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Individual

ALYCE A. HASTINGS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC, MAC, CTS

Contact information

Practice address
4015 S COBB DR SE, 220, SMYRNA, GA 30080-6303
(404) 374-0704
(770) 435-5740
Mailing address
191 STIRRATT RD, RANGER, GA 30734-7762
(706) 334-4185
(706) 334-6969

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC003418
GA

Other

Enumeration date
04/14/2006
Last updated
07/08/2007
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