Individual
LAURIE LANCASTER PATRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3455 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024-6425
(770) 634-3285
(404) 201-2103
Mailing address
3455 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024-6425
(770) 634-3285
(404) 201-2103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266292119A
—
GA
Enumeration date
01/08/2007
Last updated
01/08/2010
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