Individual
MRS. CANDICE A GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7700
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0066363
GA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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