Individual
CHARLES LASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2703 HOWELL TRCE, DULUTH, GA 30096-7974
(404) 808-4840
Mailing address
2703 HOWELL TRCE, DULUTH, GA 30096-7974
(404) 808-4840
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
GA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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