Individual
ELOUISE LAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009240
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13944751
CAQH
GA
Enumeration date
12/19/2016
Last updated
07/13/2017
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