Individual
ANDREA JANE KROMMINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 11TH AVE, ALBANY, GA 31701-1645
(229) 430-4100
Mailing address
319 CREEKSIDE DR APT B, LEESBURG, GA 31763-5957
(229) 894-8591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC012780
GA
171W00000X
Contractor
—
—
Other
Enumeration date
11/29/2017
Last updated
04/04/2022
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