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Individual

KASI SPONHALTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAPC

Contact information

Practice address
1830 WATER PL SE STE 200, ATLANTA, GA 30339-2042
(770) 916-9030
(770) 916-9031
Mailing address
1830 WATER PL SE STE 200, ATLANTA, GA 30339-2042
(770) 916-9030
(770) 916-9031

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC003756
GA

Other

Enumeration date
02/11/2013
Last updated
02/11/2013
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