Individual
SHAWNDA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 JAMES P BRAWLEY DR NW, ATLANTA, GA 30314
(494) 919-5752
Mailing address
1332 INMAN CT, NORCROSS, GA 30093-3345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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