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Individual

LAKISHA R HEADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CBD,CPD

Contact information

Practice address
44 MILTON AVE STE 260, ALPHARETTA, GA 30009-1508
(470) 243-0906
Mailing address
44 MILTON AVE STE 260, ALPHARETTA, GA 30009-1508
(470) 243-0906

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
07/05/2022
Last updated
09/11/2025
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