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Individual

MS. JOSEPHINE LOLA BANJOKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1402 PARK HOLLOW LN, LAWRENCEVILLE, GA 30043-3878
(404) 245-9726
Mailing address
1402 PARK HOLLOW LN, LAWRENCEVILLE, GA 30043-3878
(404) 245-9726

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP1600X
Pastoral Counselor

Other

Enumeration date
02/09/2019
Last updated
02/09/2019
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