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Individual

TALIA KATONDRAL PURIFOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3849 OAKVIEW DR STE 200, POWDER SPRINGS, GA 30127-2208
(678) 457-7968
Mailing address
3475 SUMMERLIN PKWY, LITHIA SPRINGS, GA 30122-7809
(678) 457-7968

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
02/27/2024
Last updated
02/27/2024
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