Individual
MS. SANDRA IFENYINWA OGBONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(698) 212-6350
Mailing address
421 SAINT MARLOWE DR, LAWRENCEVILLE, GA 30044-7364
(678) 720-2340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2013
Last updated
02/03/2013
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