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Individual

DIONNA LAKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PP, BS

Contact information

Practice address
1220 2ND AVE, COLUMBUS, GA 31901-5241
(706) 571-9091
(706) 571-9242
Mailing address
4845 HITCHITEE ST, COLUMBUS, GA 31907-6016
(706) 386-0135
(706) 571-9242

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/14/2014
Last updated
05/14/2014
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