Individual
LOVELY IMASUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1576 ATKINSON RD STE 212, LAWRENCEVILLE, GA 30043-5701
(918) 254-4937
Mailing address
1576 ATKINSON RD STE 212, LAWRENCEVILLE, GA 30043-5701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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