Organization
FAMILY AND CHILD DEVELOPMENT CENTER OF JOHNS CREEK LTD
Active
Organization
FAMILY AND CHILD DEVELOPMENT CENTER OF JOHNS CREEK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCINDA TAYLOR GRAPENTHIN (OWNER)
(404) 433-7363
Entity
Organization
Contact information
Practice address
360 PROSPECT PL, ALPHARETTA, GA 30005-5467
(404) 433-7363
(770) 645-9281
Mailing address
500 ARGYLL CRST, ALPHARETTA, GA 30022-6118
(404) 433-7363
(770) 645-9281
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2289
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000922556A
—
GA
Enumeration date
10/16/2012
Last updated
10/16/2012
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