Individual
MRS. DEBRA DENISE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2300 HENDERSON MILL RD NE, SUITE 411, ATLANTA, GA 30345-2745
(678) 643-7823
Mailing address
PO BOX 573, ELLENWOOD, GA 30294-0573
(678) 643-7823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002738
GA
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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