Individual
MRS. PRISCILLA YATES CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 SHILOH RD NW, KENNESAW, GA 30144-1384
(770) 639-2333
Mailing address
950 SHILOH RD NW, KENNESAW, GA 30144-1384
(770) 639-2333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005811
GA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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