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Individual

MRS. LYDIA EMMONS MINEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LAPC

Contact information

Practice address
2655 DALLAS HWY SW STE 240, MARIETTA, GA 30064-2597
(770) 617-0253
Mailing address
2408 TREES OF KENNESAW PKWY NW, KENNESAW, GA 30152-8219

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC003965
GA

Other

Enumeration date
12/20/2013
Last updated
12/20/2013
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