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Individual

MS. KIA HANSFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3915 CASCADE RD SW, SUITE 350, ATLANTA, GA 30331-8512
(770) 873-2654
Mailing address
PO BOX 813581, SMYRNA, GA 30081-8581
(770) 873-2654

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008358
GA

Other

Enumeration date
01/29/2016
Last updated
01/29/2016
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