Individual
MANDY ROYALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2120 DEER RUN CT, LAWRENCEVILLE, GA 30044-5934
(805) 588-1131
Mailing address
2120 DEER RUN CT, LAWRENCEVILLE, GA 30044-5934
(805) 588-1131
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
16250
SC
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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