Individual
VANESSA LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 SILVER THORNE DR, LOGANVILLE, GA 30052-9288
(678) 939-2565
Mailing address
1062 SILVER THORNE DR, LOGANVILLE, GA 30052-9288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC008595
GA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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