Individual
LAKESHIA MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 DEKALB INDUSTRIAL WAY, DECATUR, GA 30030-2230
(678) 210-1542
Mailing address
452 SANTA FE TRL, ELLENWOOD, GA 30294-2683
(770) 388-7454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW009166
GA
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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