Individual
MRS. AMERICA ANDERSON ILENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1745 WOODSTOCK RD, ROSWELL, GA 30075-2367
(404) 556-6662
Mailing address
535 WEXFORD HOLLOW RUN, ROSWELL, GA 30075-1490
(404) 556-6662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004113
GA
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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