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Individual

MRS. JOYCE DAVIS MINTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LPC

Contact information

Practice address
6886 MAIN ST STE 215, LITHONIA, GA 30058-4508
(678) 526-1132
(678) 526-1153
Mailing address
6886 MAIN ST STE 215, LITHONIA, GA 30058-4508
(678) 526-1132
(678) 526-1153

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004278
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
950263099A
GA
Enumeration date
10/07/2005
Last updated
05/05/2008
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