Individual
MRS. KETURAH NASHIA DIROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC, MFT
Contact information
Practice address
5055 EAST ST, FOREST PARK, GA 30297-2327
(305) 807-7519
Mailing address
5055 EAST ST, FOREST PARK, GA 30297-2327
(305) 807-7519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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