Individual
KEISHA CANDIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 ZACK HINTON PKWY, MCDONOUGH, GA 30252
(678) 432-3330
Mailing address
3196 HUNTERS CROSSING PT, LITHONIA, GA 30038-1523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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