Individual
DR. NIYAH GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 COMMERCE AVE STE B109, LAGRANGE, GA 30241-2346
(470) 867-9810
Mailing address
486 LUKE CT, JONESBORO, GA 30238-5798
(770) 873-0236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010206
GA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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