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Individual

TAMARA LAVETA FRIERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5041 DALLAS HWY STE 402, POWDER SPRINGS, GA 30127-6458
(678) 354-5594
Mailing address
2100 ELLISON LAKES DR NW APT 927, KENNESAW, GA 30152-6742
(803) 486-0657

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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