Individual
LAKESHA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, NCC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
3599 OAKVALE FALLS CT, DECATUR, GA 30034-6930
(678) 634-7477
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
477236
GA
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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