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Individual

MS. MONICA LANEE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
280 CAPETON CT, COVINGTON, GA 30016
(678) 760-1471
Mailing address
280 CAPETON CT., COVINGTON, GA 30016
(678) 760-1471

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
174400000X
Specialist

Other

Enumeration date
04/25/2009
Last updated
06/18/2009
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