Individual
KESI LORYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1687 HAMILTON AVE, EAST POINT, GA 30344-4249
(404) 316-2593
Mailing address
1382 CLERMONT AVE, EAST POINT, GA 30344-1754
(404) 316-2593
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002966
GA
Other
Enumeration date
08/03/2017
Last updated
08/08/2017
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