Individual
LENA GABRIELLE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 KILLIAN HILL RD SW STE 103B, LILBURN, GA 30047-8976
(770) 231-4792
Mailing address
2531 EASTMONT TRL, SNELLVILLE, GA 30039-6208
(404) 454-4779
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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