Organization
L G D PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GAIL DENNARD LCSW (P:RESIDENT)
(770) 469-6794
Entity
Organization
Contact information
Practice address
5438 REDWOOD CT, STONE MOUNTAIN, GA 30087-5758
(770) 469-6794
Mailing address
5438 REDWOOD CT, STONE MOUNTAIN, GA 30087-5758
(770) 469-6794
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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