Individual
DEONI DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SUN VALLEY DR STE D2, ROSWELL, GA 30076-5636
(770) 910-9162
Mailing address
21003 LEXINGTON FARMS DR, ALPHARETTA, GA 30004-5303
(256) 337-6741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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