Individual
YACKINNEIA ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
740 FLETCHER ST, CEDARTOWN, GA 30125-3249
(770) 748-1500
Mailing address
82 LAKE CONNIE RD, CARROLLTON, GA 30116-5232
(404) 452-4941
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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