Individual
KARA LINDSEY WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 CELESTIAL RIDGE DR, DALLAS, GA 30132-2102
(470) 219-2749
Mailing address
108 CELESTIAL RIDGE DR, DALLAS, GA 30132-2102
(470) 219-2749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770627515
—
GA
Enumeration date
05/27/2019
Last updated
05/27/2019
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