Individual
CASEY JO WESTPHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
(770) 898-7400
Mailing address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC003332
GA
Other
Enumeration date
02/10/2012
Last updated
05/14/2012
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