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Individual

DR. LEHOME' BLISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
109 N 85 PKWY, SUITE B, FAYETTEVILLE, GA 30214-4003
(678) 522-5361
(678) 522-5361
Mailing address
109 N 85 PKWY, SUITE B, FAYETTEVILLE, GA 30214-4003
(678) 522-5361
(678) 522-5361

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
170724
MD
101YP1600X
Pastoral Counselor
2009170
GA

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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