Individual
MRS. AYANNA KEMBA CLARKE-DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3505 VETERANS MEMORIAL HWY, LITHIA SPRINGS, GA 30122-1460
(678) 438-3644
Mailing address
3505 VETERANS MEMORIAL HWY, LITHIA SPRINGS, GA 30122-1460
(678) 438-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004303
GA
Other
Enumeration date
01/30/2010
Last updated
06/26/2014
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