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Individual

CARMELLA ANDREA GAYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 W PARK PL, STONE MOUNTAIN, GA 30087-6713
(678) 330-1400
Mailing address
624 EL PRADO CT, STONE MOUNTAIN, GA 30083-3822
(404) 431-3190

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
059684277
GA

Other

Enumeration date
11/26/2018
Last updated
11/26/2018
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