Individual
DENISE S ROYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-3962
(770) 387-3538
Mailing address
1620 HICKORY ST, STE 404, DALTON, GA 30720-2312
(706) 270-5033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005099
LICENSE
GA
Enumeration date
12/26/2007
Last updated
08/22/2011
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