Individual
TAISHA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
834 HIGHWAY 11 SW, MONROE, GA 30655-6036
(706) 389-6789
(706) 227-7249
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC002561
GA
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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