Individual
MS. DACIE ZOISE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 HAZELBRAND RD NE, COVINGTON, GA 30014-1510
(770) 787-3977
(770) 784-3022
Mailing address
45 MABRY PLACE CT, COVINGTON, GA 30014-7462
(770) 385-6265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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