Individual
KATHY LUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
805 CHURCH ST, DECATUR, GA 30030-1870
(404) 376-3760
Mailing address
805 CHURCH ST., DECATUR, GA 30030
(404) 377-4057
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001212
GA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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