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Individual

MRS. LEITH D ANANIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
694 E WILLIAM AVE, SUITE 2, KINGSLAND, GA 31548-5024
(912) 674-0872
Mailing address
100 RENEE DR, KINGSLAND, GA 31548-6180
(912) 674-0872

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000906
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887021585A
GA
Enumeration date
12/01/2006
Last updated
07/22/2008
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