Individual
MRS. LAURIE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
977 TAYLOR ST SW # A, CONYERS, GA 30012-5357
(770) 785-5910
Mailing address
735 MILL POND RD, NEWBORN, GA 30056-1822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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