Individual
MRS. AMY L DETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
104 W CANDLER ST, WINDER, GA 30680-1733
(770) 246-2822
Mailing address
641 RED FOX LN, AUBURN, GA 30011-3459
(678) 900-8275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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