Individual
CYNTHIA LYNCH GARSTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 ANSLEY ST, DECATUR, GA 30030-3611
(404) 234-0157
Mailing address
605 ANSLEY ST, DECATUR, GA 30030-3611
(404) 234-0157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029297957
GEORGIA STATE DRIVERS LICENSE
GA
Enumeration date
04/23/2019
Last updated
04/23/2019
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