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Individual

MRS. KRISTY L MYCROFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5960 STEWART PKWY, DOUGLASVILLE, GA 30135-2372
(404) 877-2190
Mailing address
107 GLENDA CT, VILLA RICA, GA 30180-7368
(404) 877-2190

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009749
GA

Other

Enumeration date
02/27/2018
Last updated
02/27/2018
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