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Individual

DR. JUANESSA DONYALE BOOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, EDD

Contact information

Practice address
725 SMALL ELK CT, FAIRBURN, GA 30213-1022
(470) 771-2645
Mailing address
725 SMALL ELK CT, FAIRBURN, GA 30213-1022
(470) 771-2645

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
011933
GA

Other

Enumeration date
11/03/2021
Last updated
11/03/2021
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