Individual
KEASIA Z PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
(770) 679-0586
Mailing address
1990 PITTSTON FARM RD, LITHONIA, GA 30058-5087
(404) 432-7438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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