Individual
NADYA CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
4411 SUWANEE DAM RD STE 450, SUWANEE, GA 30024-8706
(770) 331-6592
Mailing address
801 OLD PEACHTREE RD NW UNIT 24, LAWRENCEVILLE, GA 30043-3316
(770) 883-8768
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC006803
GA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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