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Individual

CAROLYN GENSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1330 CONCORD RD SE STE 104, SMYRNA, GA 30080-4373
(404) 771-2277
Mailing address
445 SUPERIOR AVE, DECATUR, GA 30030-1402

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011259
GA

Other

Enumeration date
12/31/2019
Last updated
12/31/2019
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