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Individual

ANGELA LESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(770) 838-8527
Mailing address
2261 SHARONDALE DR, VILLA RICA, GA 30180-8425

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW007246
GA

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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