Individual
KYRA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LANIER AVE W STE 908, FAYETTEVILLE, GA 30214-7641
(770) 769-5322
Mailing address
159 AUBREE WAY, MCDONOUGH, GA 30252-2417
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000711
GA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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